OMB control number

"medicare" Quarterly Periodic Interim Payment Report

OMB 0938-0384 · HHS/CMS.

OMB 0938-0384

Latest Forms, Documents, and Supporting Material

Document Name
"MEDICARE" QUARTERLY PERIODIC INTERIM PAYMENT REPORT Form

All Historical Document Collections

199009-0938-005 Approved without change	Revision of a currently approved collection	1990-09-25
198709-0938-005 Approved without change	Revision of a currently approved collection	1987-09-30
198408-0938-011 Approved without change	New collection (Request for a new OMB Control Number)	1984-08-17