Medicare Managed Care Disenrollment Form

OMB 0938-0507

OMB 0938-0507
Latest Forms, Documents, and Supporting Material
Document
Name
All Historical Document Collections
Approved without change
 Extension without change of a currently approved collection 2003-06-19
Approved without change
 Reinstatement without change of a previously approved collection 2000-04-24
Approved without change
 Reinstatement with change of a previously approved collection 1996-10-17
Approved without change
 Extension without change of a currently approved collection 1988-04-18
Approved without change
 New collection (Request for a new OMB Control Number) 1987-04-27
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