OMB control number

Billing Form For The Alcoholism Services Coverage Demonstration

OMB 0938-0259 · HHS/CMS.

OMB 0938-0259

Latest Forms, Documents, and Supporting Material

Document Name
BILLING FORM FOR THE ALCOHOLISM SERVICES COVERAGE DEMONSTRATION Form

All Historical Document Collections

198504-0938-002 Approved without change	Extension without change of a currently approved collection	1985-04-09
198206-0938-007 Approved without change	New collection (Request for a new OMB Control Number)	1982-06-11