Insurance Common Claims Form and Supporting Regulations at 42 CFR Part 424 Subpart C

OMB 0938-0999

OMB 0938-0999
Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Supplementary Document
Supporting Statement A
All Historical Document Collections
Approved without change
 Reinstatement without change of a previously approved collection 2012-11-28
Approved without change
 Extension without change of a currently approved collection 2007-06-29
Approved without change
 New collection (Request for a new OMB Control Number) 2006-06-27
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