OMB control number

Medicare, Carrier Appeal Report

OMB 0938-0452 · HHS/CMS.

OMB 0938-0452

Latest Forms, Documents, and Supporting Material

Document Name
MEDICARE, CARRIER APPEAL REPORT Form

All Historical Document Collections

199203-0938-001 Approved without change	Revision of a currently approved collection	1992-03-09
199009-0938-003 Approved without change	Extension without change of a currently approved collection	1990-09-25
198904-0938-006 Approved without change	Reinstatement with change of a previously approved collection	1989-04-13
198508-0938-009 Approved without change	New collection (Request for a new OMB Control Number)	1985-08-30