Justification for Nonsubstantive Change

Justification for Nonsubstantive Change.docx

Notice of Denial of Medical Coverage (or Payment) (NDMCP) (CMS-10003)

Justification for Nonsubstantive Change

OMB: 0938-0829

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Justification for Nonsubstantive Change

Notice of Denial of Medical Coverage (or Payment) (NDMCP)

CMS-10003, OMB 0938-0829


This iteration seeks OMB approval of the Spanish version of our CMS-10003 notice.


OMB approved the revised English version on January 17, 2017. However, to make the best use of translation resources CMS has been waiting for approval of the revised English version before spending resources to revise and translate the Spanish version.


There are no burden adjustments or changes associated with this request. There are no changes to the Supporting Statement. This iteration simply seeks approval of the Spanish version of the CMS-10003 notice. As indicated, the English version is already approved.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMitch Bryman
File Modified0000-00-00
File Created2021-01-22

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