OMB control number
Bounceback Form for Medicare and You on WWW.Medicare.Gov
OMB 0938-0740 · HHS/CMS.
OMB 0938-0740
Latest Forms, Documents, and Supporting Material
All Historical Document Collections
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Approved without change |
Extension without change of a currently approved collection | 1999-01-08 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 1998-08-20 |