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Obtaining Supplemental Information from Hospital or Doctor
OMB 2900-0121
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OMB 2900-0121
OMB 2900-0121
Latest Forms, Documents, and Supporting Material
Document
Name
Obtaining Supplemental Information from Hospital or Doctor
Form
All Historical Document Collections
200601-2900-008
Approved without change
Extension without change of a currently approved collection
2006-01-23
200301-2900-001
Approved without change
Extension without change of a currently approved collection
2003-01-24
199912-2900-007
Approved without change
Reinstatement without change of a previously approved collection
1999-12-27
199508-2900-020
Approved without change
Extension without change of a currently approved collection
1995-08-23
199208-2900-002
Approved without change
Extension without change of a currently approved collection
1992-08-04
198910-2900-002
Approved without change
Reinstatement with change of a previously approved collection
1989-10-13
198905-2900-013
Approved with change
No material or nonsubstantive change to a currently approved collection
1989-05-01
198706-2900-015
Approved without change
Revision of a currently approved collection
1987-06-25
198608-2900-040
Approved with change
No material or nonsubstantive change to a currently approved collection
1986-08-08
198406-2900-015
Approved without change
Extension without change of a currently approved collection
1984-06-19
198106-2900-027
Approved without change
Extension without change of a currently approved collection
1981-06-29
198011-2900-069
Approved with change
No material or nonsubstantive change to a currently approved collection
1980-11-06
197609-2900-011
Approved without change
Revision of a currently approved collection
1976-09-03
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