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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
Supporting Statement A_OMB 2022 7-13-22.docx
07/13/2022
Supporting Statement B
Document
Date Uploaded
Supplementary Documents
Title
Document
Document Type
Date Uploaded
Attachment A - Legislation
Attachment A - Legislation.pdf
Supplementary Document
05/20/2019
Section 501 of Title V of the Social Security Act
Attachment A - Legislation.pdf
Supplementary Document
08/23/2022
Crosswalk of Form Changes
Attachment B1 - Crosswalk Table.docx
Supplementary Document
08/23/2022
Domain-Specific Measures and Program-Specific Measures
Attachment B - Measures and Detail Sheets_Clean.docx
Supplementary Document
08/23/2022
Financial and Demographic Data Forms
Attachment C - Financial and Demographic Data Elements_Clean.docx
Supplementary Document
08/23/2022
Additional Data Elements
Attachment D - Additional Data Elements_Clean.docx
Supplementary Document
08/23/2022
Public Comments
Attachment E Public Comments.docx
Supplementary Document
08/23/2022
Summary of Public Comments
Attachment F - Summary of Public Comments.docx
Supplementary Document
08/23/2022
Change Memo - Also in IC List
FINALMCHB DGIS Non Substantitive Changes Memo 0915-0298_0120.docx
Justification for No Material/Nonsubstantive Change
01/23/2020
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.