OMB control number
Claim for Reimbursement for Emergency Medical Care
OMB 3240-0030 · SSS.
OMB 3240-0030
Latest Forms, Documents, and Supporting Material
Document Name |
|---|
Form and Instruction |
Supporting Statement B |
Supporting Statement A |
Form SSS FORM 166 Claim for Reimbursement for Emergency Medical Care
Claim for Reimbursement for Emergency Medical Care All Historical Document Collections
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Withdrawn |
Extension without change of a currently approved collection | 2008-07-24 | |
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Approved with change |
Extension without change of a currently approved collection | 2005-06-07 | |
|
Approved without change |
Extension without change of a currently approved collection | 2002-05-08 | |
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Approved without change |
Extension without change of a currently approved collection | 1999-02-11 | |
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Approved without change |
Extension without change of a currently approved collection | 1995-12-13 | |
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Approved without change |
Extension without change of a currently approved collection | 1992-08-27 | |
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Approved without change |
Extension without change of a currently approved collection | 1989-11-07 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 1987-01-28 |