ICR Documents

Supporting Statement A

Document	Date Uploaded
	11/16/2006

Supporting Statement B

Document	Date Uploaded

Supplementary Documents

Title	Document	Document Type	Date Uploaded
CMS-1450(UB-04) Justification for 83-C		Justification for No Material/Nonsubstantive Change	11/07/2006

Public Comments

Author Name	Comment Document	Author Affiliation	Sponsoring Org.	Type	Category	Date of Comment	Date Comment Received

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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