Mock-up

CMS 10752 Mock-Up 1135 Waiver-Inquiry Collection Instrument (2024 Hurricane Francine).pdf

Submissions of 1135 Waiver Request Automated Process (CMS-10752)

Mock-up

OMB: 0938-1384

Document [pdf]
Download: pdf | pdf
1135 Web Portal PHE Change

Add PHE to drop-down list:
2024 Hurricane Francine
XX/XX/XXXX – XX/XX/XXXX

https://cmsqualitysupport.servicenowservices.com/cms_1135


File Typeapplication/pdf
AuthorSaunders, Adriane (CMS/CCSQ)
File Modified2024-09-12
File Created2024-09-12

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