OMB control number

Request for Medicare Payment -- Ambulance and Supporting Regulations in 42 CFR Sections 410.1, 410.40, 424.124, 424.601, 414.605, 414.610, 414.615, 414.620, 414.625, and 424.32

OMB 0938-0042 · HHS/CMS.

OMB 0938-0042