OMB control number

Medicare Supplier Number Application

OMB 0938-0594 · HHS/CMS.

OMB 0938-0594

Latest Forms, Documents, and Supporting Material

Document Name
MEDICARE SUPPLIER NUMBER APPLICATION Form

All Historical Document Collections

199208-0938-004 Approved without change	Revision of a currently approved collection	1992-08-05
199109-0938-007 Approved without change	New collection (Request for a new OMB Control Number)	1991-09-25