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Applicable Integrated Plan Coverage Decision Letter (CMS-10716)
ICR 202404-0938-023
OMB: 0938-1386
Federal Form Document
OMB.report
HHS/CMS
OMB 0938-1386
ICR 202404-0938-023
( )
Forms and Documents
Document
Name
Status
CMS-10716_SupportingStatement_A.docx
Supporting Statement A
2023-06-06
0938-1386 (CMS 10716) - Non Substantive Change Request Memo.docx
Justification for No Material/Nonsubstantive Change
2024-04-27
Summary of comments and responses.pdf
Supplementary Document
2023-06-05
Crosswalk of Changes to CDL.docx
Supplementary Document
2024-04-26
IC Document Collections
IC ID
Document
Title
Status
241332
Applicable Integrated Plan Coverage Decision Letter
Instruction
Modified
ICR Details
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