PRA ICR Documents
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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
CMS-10501 - HFFP Supporting Statement - Final 2018.docx
12/07/2018
Supporting Statement B
Document
Date Uploaded
CMS-10501 - SS-B 417.docx
08/24/2017
Supplementary Documents
Title
Document
Document Type
Date Uploaded
Response to 60-day comment
CMS-10501 - Appendix A - Public Comment Tracking Tool.doc
Supplementary Document
08/24/2017
Appendix B: Sample Data Elements (Pharmaceutical and Institutional)
CMS-10501 - Appendix B Data Elements (NEW).docx
Supplementary Document
12/07/2018
DATA SUBMISSION TEMPLATE
CMS-10501 - Data Submission Template PRA (Professional Claims).docx
Supplementary Document
12/07/2018
Change justification
CMS-10501 - Change Justification.docx
Justification for No Material/Nonsubstantive Change
12/07/2018
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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The .gov means it's official.
The site is secure.
