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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.


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3220-0086 197908-3220-009
Historical Active 197907-3220-014
RRB
APPLICATION FOR REIMBUSEMENT FOR HOSPITAL INSURANCE SERVICE FURNISHED IN CANADA
Extension without change of a currently approved collection   No
Regular
Approved without change 09/27/1979
08/31/1979
  Inventory as of this Action Requested Previously Approved
09/30/1980 09/30/1980 09/30/1979
600 0 600
100 0 100
0 0 0