ICR Documents

Supporting Statement A Document Date Uploaded CMS-10147 - Supporting Statement A - Passback2 CLEAN.docx 02/26/2018 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Response to Public Comments (60-day Comment Period) Response to Public Comments-Pharmacy Notice_CLEAN.DOCX Supplementary Document 09/21/2017 Crosswalk (Notice and Instructions) Crosswalk- CMS-10147_07102017Clean.docx Supplementary Document 09/21/2017 Crosswalk: Standard Pharmacy Notice (Spanish) Pharmacy Notice_CMS -10147 SPANISH 05 2014 508 Redline.doc Supplementary Document 04/17/2018 Justification for Nonsubstantive Change Justification for Nonsubstantive Change.docx Justification for No Material/Nonsubstantive Change 04/17/2018 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received