ICR Documents

Supporting Statement A Document Date Uploaded 1240-0024 Supporting Statement 2018 ver.2.docx 02/28/2018 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded 20 CFR 725.701 - .707 Pages from 2000 Regs for 1215-0113.pdf Supplementary Document 09/09/2008 System of Record Notice System of Record Notice.pdf Supplementary Document 11/21/2017 Certificate of Medical Necessity (CM-893) CM-893 Certificate of Medical Necessity.pdf Supplementary Document 02/19/2020 Certificate of Medical Necessity (CM-893) 1240-0024 Certification of Medical Necessity (CM-893).pdf Supplementary Document 08/26/2020 Justification for No Material/Nonsubstantive Change - CM-893 Justification - Certificate of Medical Necessity (CM-893).docx Justification for No Material/Nonsubstantive Change 08/25/2020 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received