Opt-in State Balance Bill Process
ICR 202411-1210-002
OMB: 1210-0168
Federal Form Document
Forms and Documents
Document Name | Status |
|---|---|
Supporting Statement A | 2025-03-21 |
Supplementary Document | 2021-08-24 |
1210-0168 State Opt-in Balance Bill Process 3-21-2025.docx
No-Surprises-Act (1).pdfIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 248996 | Modified |
Opt-In State Balance Bill ProcessICR Details
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