Justification for Using SSNs
Justification - Use of SSNs 0938-0245 CMS-4040.pdf
Request for Enrollment in Supplementary Medical Insurance (SMI) and Supporting Regulations in 42 CFR 407.10, 407.11 and 408.40(a)(2) (CMS-4040)
Justification for Using SSNs
OMB: 0938-0245
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0245 can be found here:
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