OMB control number
Payer's Request For Identifying Number Of Supplier Or Provider Of Medical And Health Care Services
OMB 1545-0178 · TREAS/IRS.
OMB 1545-0178
Latest Forms, Documents, and Supporting Material
PAYER'S REQUEST FOR IDENTIFYING NUMBER OF SUPPLIER OR PROVIDER OF MEDICAL AND HEALTH CARE SERVICES All Historical Document Collections
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Approved without change |
Extension without change of a currently approved collection | 1983-04-08 | |
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Approved without change |
Revision of a currently approved collection | 1981-07-30 | |
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Approved without change |
Revision of a currently approved collection | 1981-04-01 |