OMB control number
Medicare Common Claims Form
OMB 9999-0014 ยท REGS/RMS.
OMB 9999-0014
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 MEDICARE COMMON CLAIMS FORM |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 198802-9999-001 | New collection (Request for a new OMB Control Number) | 1988-02-12 | Approved without change |