ICR Documents

Document Date Uploaded
CMS-1450 (UB-04).Supporting Statement.doc 11/16/2006

Document Date Uploaded

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

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