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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
CMS-P-0015A (0935-0568) Supporting Statement A.docx
04/20/2020
Supporting Statement B
Document
Date Uploaded
CMS-P-0015A (0935-0568) Supporting Statement B.docx
04/20/2020
Supplementary Documents
Title
Document
Document Type
Date Uploaded
MCBS Respondent News letter
MCBS Newsletter English.pdf
Supplementary Document
04/20/2020
MCBS Calendar ENG
MCBS Calendar English.pdf
Supplementary Document
04/20/2020
AtTheDoorEnglish
At the Door Sheet English.pdf
Supplementary Document
04/20/2020
Community Advance Letter
AttachmentBControlLetter508c.pdf
Supplementary Document
02/11/2020
Community Authority Letter
Community Authority Letter.doc.docx
Supplementary Document
02/11/2020
MCBS Community Brochure
MCBS Community Brochure_Eng.pdf
Supplementary Document
04/16/2019
MCBS IAQ Brochure
IAQ Brochure English.pdf
Supplementary Document
04/20/2020
Refusal Letter
Refusal Letter_Com_Continuing Rs_Eng_FM800.doc
Supplementary Document
04/16/2019
Thank You Letter
Thank You Letter English.docx
Supplementary Document
04/20/2020
Facility Advance Letter
Facility Advance Letter.doc
Supplementary Document
04/16/2019
HIPAA Letter
HIPAA Letter.doc.docx
Supplementary Document
04/20/2020
MCBS Facility Brochure
Facility Brochure.pdf
Supplementary Document
04/20/2020
Resident Consent Form
Resident Consent Form.pdf
Supplementary Document
04/20/2020
Next of Kin Consent Form
Next of Kin Consent Form.pdf
Supplementary Document
04/20/2020
Advance Letter Experiment Report
AttachmentCAdvLtrReportFinal.docx
Supplementary Document
02/11/2020
Non Response Letter
Non-response Letter English.docx
Supplementary Document
04/20/2020
CAPI Screenshot
Attachment 7 CAPI screenshots.docx
Supplementary Document
04/20/2020
Crosswalk
2021 Full Clearance 30-Day Crosswalk.docx
Supplementary Document
04/22/2020
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.