OMB control number
Installment Agreement on Beneficiary Refund of Overpayment, HCFA-Pub. 13-3 and HCFA-Pub. 14-3
OMB 0938-0211 · HHS/CMS.
OMB 0938-0211
Latest Forms, Documents, and Supporting Material
Installment Agreement on Beneficiary Refund of Overpayment, HCFA-Pub. 13-3 and HCFA-Pub. 14-3 All Historical Document Collections
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Approved without change |
Revision of a currently approved collection | 1995-07-13 | |
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Approved without change |
Reinstatement with change of a previously approved collection | 1992-08-17 | |
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Approved without change |
Reinstatement with change of a previously approved collection | 1989-03-22 | |
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Approved without change |
Revision of a currently approved collection | 1985-02-25 | |
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Approved without change |
Reinstatement with change of a previously approved collection | 1985-01-24 | |
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Approved without change |
Reinstatement with change of a previously approved collection | 1983-10-28 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 1981-11-19 |