OMB control number
Medicare: Intermediary Request to Hospitals for Medical Information on Inpatient Claims for Statutorily Excluded Services -- SSA 1862; 42 CFR 411.15; 60 FR 181
OMB 0938-0224 · HHS/CMS.
OMB 0938-0224
Latest Forms, Documents, and Supporting Material
Medicare: Intermediary Request to Hospitals for Medical Information on Inpatient Claims for Statutorily Excluded Services -- SSA 1862; 42 CFR 411.15; 60 FR 181 All Historical Document Collections
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Approved without change |
Reinstatement without change of a previously approved collection | 1996-11-07 | |
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Approved without change |
Reinstatement with change of a previously approved collection | 1991-09-18 | |
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Approved without change |
Reinstatement with change of a previously approved collection | 1988-03-22 | |
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Approved without change |
Revision of a currently approved collection | 1984-09-14 | |
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Approved without change |
Reinstatement with change of a previously approved collection | 1983-10-31 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 1981-12-01 |