ICR Documents

Document Date Uploaded
CMS-10409 Supporting Statement A clean 1.28.12.docx 04/12/2013

Document Date Uploaded

Title Document Document Type Date Uploaded
Appendix B - Change Table Appendix B Change Table for PRA_V2 00_20121207.docx Supplementary Document 04/12/2013
Appendix A - LTCH Item Matrix Appendix A LTCH CARE Item Matrix_V2 00_20121207.xlsx Supplementary Document 04/12/2013
Burden Calculations LTCH clean 12 19 12 Burden Calculations LTCH clean 12 19 12.docx Supplementary Document 04/12/2013
NQR documentation CMSMemo_Meas0678.pdf Supplementary Document 04/12/2013
Note to OMB December 19 Note to OMB December 19.docx Supplementary Document 04/12/2013

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