OMB control number
Annual Report of Physician-Owned Hospital Ownership and/or Investment Interest
OMB 0938-1231 · HHS/CMS.
OMB 0938-1231
Latest Forms, Documents, and Supporting Material
Document Name |
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Form and Instruction |
Supporting Statement A |
Form CMS-855POH Annual Report of Physician-Owned Hospital Ownership and/or Investment Interest
CMS-855(POH)_Supporting_Statement_Part_A(508).docx
Annual Report of Physician-Owned Hospital Ownership and/or Investment Interest All Historical Document Collections
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Approved without change |
New collection (Request for a new OMB Control Number) | 2013-11-18 |