National Medical Support Notice - Part A
ICR 202401-0970-001
OMB: 0970-0222
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0222 can be found here:
Forms and Documents
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Justification for No Material/Nonsubstantive Change | 2024-01-02 |
Justification for No Material/Nonsubstantive Change | 2024-01-02 |
Justification for No Material/Nonsubstantive Change | 2023-03-02 |
Justification for No Material/Nonsubstantive Change | 2023-03-02 |
Justification for No Material/Nonsubstantive Change | 2022-11-23 |
Justification for No Material/Nonsubstantive Change | 2022-11-23 |
Supplementary Document | 2022-11-23 |
Supplementary Document | 2022-11-23 |
Supplementary Document | 2022-09-16 |
Supplementary Document | 2022-09-16 |
Supplementary Document | 2022-11-23 |
Supplementary Document | 2022-11-23 |
Supporting Statement A | 2024-01-02 |
Supporting Statement A | 2024-01-02 |
Form Part A - Revised 2 National Medical Support Notice – Part A – Notice to Withhold for Health Care Coverage e-NMSN record specification layout Electronic system to system (Employer Respondents)
2023 e-NMSN record specifications-NMSN Part A_NonSub Change Request_1.2.24.docxIC Document Collections
| IC ID | Document Title | Status | |
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| 264137 | New | ||
| 264137 | New | ||
| 264134 | New | ||
| 264134 | New | ||
| 255976 | Unchanged | ||
| 255976 | Unchanged | ||
| 236881 | Unchanged | ||
| 236881 | Unchanged | ||
| 10060 | Unchanged | ||
| 10060 | Unchanged |
National Medical Support Notice – Part A – Notice to Withhold for Health Care Coverage e-NMSN record specification layout Electronic system to system (Employer Respondents)ICR Details
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