OMB control number
Certification Of Eligibility To Receive The Fehbp Premium Rebate Under The Medicare Catastrophic Coverage Act
OMB 3206-0181 · OPM.
OMB 3206-0181
Latest Forms, Documents, and Supporting Material
CERTIFICATION OF ELIGIBILITY TO RECEIVE THE FEHBP PREMIUM REBATE UNDER THE MEDICARE CATASTROPHIC COVERAGE ACT All Historical Document Collections
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Approved without change |
New collection (Request for a new OMB Control Number) | 1988-09-14 |