Application for Enrollment in Medicare Part B (Medical Insurance) (CMS-40B)

ICR 202501-0938-012

Forms and Documents

Document Name	Status
Form CMS-40B (SP) Application for Enrollment in Medicare Part B (Medical Insurance) Form and Instruction	Modified
CMS-40B - Supporting Statement.docx Supporting Statement A	2025-03-21
Crosswalk of Changes CMS 40B_508.pdf Supplementary Document	2025-01-23

IC Document Collections

IC ID	Document Title	Status
209928	Application for Enrollment in Medicare Part B (Medical Insurance) Form and Instruction	Modified

ICR Details