ICR Documents

Supporting Statement A Document Date Uploaded CMS-2540 Supporting Statement [rev 10-18-11].doc 10/18/2011 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded CMS-2540-10 Crosswalk [Added Worksheet] CMS-2540 Crosswalk.xlsx Supplementary Document 07/13/2011 Instruction, Section 4195 - Crosswalk pr2_4195 Crosswalk.doc Supplementary Document 07/14/2011 Instructiom, Section 4105 - Crosswalk pr2_4100_to_4107 Crosswalk.doc Supplementary Document 07/14/2011 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Regan, Carol SNF Direct Care Expenditure Form - PHI Comments.pdf Director of Government Affairs PHI Letter Simple 08/01/2011 08/10/2011 Anonymous CMS-2540-10_comments_30 day [rev 08-30-11].doc PHI Other -- UNKN Multiple 07/01/2011 08/30/2011