ICR Documents

Supporting Statement A Document Date Uploaded Supporting Statement for 2012 Applications(30 daycomment).doc 09/17/2010 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded CMS MA Additional and Supplment Benefits Table (2012 Draft) CMS MA Additional and Supplment Benefits Table (2012 Draft).xls Supplementary Document 09/17/2010 CMS MA Contract and Signature Index-Facilities (2012 Draft) CMS MA Contract and Signature Index-Facilities (2012 Draft).xls Supplementary Document 09/17/2010 2012 Draft HSD Instructions Clean (PRA-30daynotice) 2012 Draft HSD Instructions Clean (PRA-30daynotice).doc Supplementary Document 09/17/2010 CMS MA Facility Table (2012 Draft) CMS MA Facility Table (2012 Draft).xls Supplementary Document 09/17/2010 CMS MA Provider Table (2012 Draft) CMS MA Provider Table (2012 Draft).xls Supplementary Document 09/17/2010 CMS MA Signature Authority Grid (2012 Draft) CMS MA Signature Authority Grid (2012 Draft).xls Supplementary Document 09/17/2010 2012 High Level Sum- Changes from 60 Comment Period_V3_Rev_1 2012 High Level Sum- Changes from 60 Comment Period_V3_Rev_1.docx Supplementary Document 09/17/2010 Response to comments 2012 PRA CommentTracking (Response to 60 daynotice).xls Supplementary Document 09/17/2010 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Anonymous 4_comments_s30_10-08-2010_14-02-12-420.zip Other -- web Multiple 08/08/2010 08/08/2010 Anonymous 5th_comment_s21_11-08-2010_09-34-49-819.zip Other -- web submission Simple 08/09/2010 08/09/2010