PRA ICR Documents
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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
CMS-10340 - Supporting Statement A rev 01-03-2017 - Passback2_04052018 [rev 04-13-2018 by OSORA PRA].docx
04/13/2018
Supporting Statement B
Document
Date Uploaded
Supplementary Documents
Title
Document
Document Type
Date Uploaded
Justification for Using SSNs
SSN Justification.pdf
Supplementary Document
08/29/2017
Crosswalk
Crosswalk - Submitter Application 12_2_2 and Submitter Authorization 12_2_3 (rev OSORA PRA).xlsx
Supplementary Document
08/29/2017
Response to Comments
CMS-10340-PRA Comment and Response [rev OSORA PRA].docx
Supplementary Document
08/29/2017
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Galvin, Jane
1k0-8s5w-171o - Additional Comments.pdf
BCBSA
Other -- Web
Multiple
09/28/2016
09/28/2016
Galvin, Jane
1k0-8s5w-171o - Combined Cover and Comments.pdf
BCBSA
Other -- Web
Multiple
09/28/2016
09/28/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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