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Get the free OMB No. 0938-0787 Expires: 06/2023 REQUEST FOR EMPLOYMENTAffidavit of Support - USCI...

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Form Approved OMB No. 07040187 Expires Aug 31, 1992ORDER FOR SUPPLIES OR SERVICES 1.CONTRACT/PORCH ORDER NO.6.ISSUED BY2. N0010421PDD13DELIVERY ORDER NO.CODENAVSUP WEAPON SYSTEMS SUPPORT MUCH 5450
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OMB No. 0938-0787 refers to a specific Office of Management and Budget clearance number for forms related to Medicare cost reporting and applications. The expiration date indicates when the authority to collect this information expires, which is typically extended or renewed periodically.
Entities that provide Medicare services, such as hospitals and long-term care facilities, are required to file forms related to OMB No. 0938-0787 to report necessary information to the Centers for Medicare & Medicaid Services (CMS).
To fill out the forms associated with OMB No. 0938-0787, proper instructions provided by CMS should be followed, including filling in provider information, financial data, and any other required metrics as specified in the form guidance.
The purpose of OMB No. 0938-0787 is to gather essential data from Medicare service providers to ensure compliance with federal regulations and to assess the quality and efficiency of Medicare services.
The information reported on forms under OMB No. 0938-0787 typically includes financial statements, patient care data, and other metrics that relate to the provider's operational performance and compliance with Medicare regulations.
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