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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
CMS-855.Supporting Statement.doc
11/05/2007
Supporting Statement B
Document
Date Uploaded
Supplementary Documents
Title
Document
Document Type
Date Uploaded
CMS-855 Response to Public Comments
CMS-855 FORM COMMENTS OMB REPLY AUGUST 2007.DOC
Supplementary Document
11/05/2007
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Hansen, Tricia
CMS-855 Comments #2 and #3 .pdf
Intermountain Healthcare
Letter
Simple
07/05/2007
07/05/2007
Horton, Donald
CMS-855 Comments #2 and #3 .pdf
Lab Corps
Letter
Multiple
07/02/2007
07/02/2007
Dawkins, Larrie
CMS-855 Comment #1.pdf
Wake Forest University Health Sciences
Letter
Simple
06/26/2007
06/27/2007
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.