ICR Documents

Supporting Statement A Document Date Uploaded CMS-10146 - Supporting Statement A - Passback1 rev CLEAN.doc 02/02/2017 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Crosswalk - Denial Notice (English) Crosswalk- Denial Notice English.xlsx Supplementary Document 05/02/2018 Crosswalk - Denial Notice (Spanish) Crosswalk- Denial Notice Spanish.xlsx Supplementary Document 05/02/2018 Track Change - Denial Notice (English) Denial Notice (Spanish) - Redline.docx Supplementary Document 05/02/2018 Track Change - Denial Notice Instructions (English) Denial Notice Instructions - Redline.docx Supplementary Document 05/02/2018 Track Change - Denial Notice (Spanish) Denial Notice (Spanish) - Redline.docx Supplementary Document 05/02/2018 Justification for Nonsubstantive Change Justification (rev 05-02-2018 by OSORA PRA).docx Justification for No Material/Nonsubstantive Change 05/02/2018 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received