OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Medicare Intermediary Request to Skilled Nursing Facilities for Medical Information on Claims to be Processed

OMB 0938-0223 · HHS/CMS.

OMB 0938-0223

Latest Forms, Documents, and Supporting Material

Document Name
Medicare Intermediary Request to Skilled Nursing Facilities for Medical Information on Claims to be Processed Form

All Historical Document Collections

199504-0938-002 Approved without change	Reinstatement with change of a previously approved collection	1995-04-24
199107-0938-006 Approved without change	Revision of a currently approved collection	1991-07-23
199005-0938-002 Approved without change	Reinstatement with change of a previously approved collection	1990-05-01
198803-0938-003 Approved without change	Revision of a currently approved collection	1988-03-22
198506-0938-002 Approved without change	Reinstatement with change of a previously approved collection	1985-06-24
198501-0938-006 Approved without change	Reinstatement with change of a previously approved collection	1985-01-24
198310-0938-007 Approved without change	Reinstatement with change of a previously approved collection	1983-10-31
198112-0938-002 Approved without change	New collection (Request for a new OMB Control Number)	1981-12-01