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1135 Waiver Request Automated Process
Submissions of 1135 Waiver Request Automated Process (CMS-10752)
OMB: 0938-1384
IC ID: 243968
OMB.report
HHS/CMS
OMB 0938-1384
ICR 202512-0938-023
IC 243968
( )
Documents and Forms
Document Name
Document Type
Form CMS-10752
1135 Waiver Request Automated Process
Form and Instruction
Information Collection (IC) Details
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