ICR Documents

Supporting Statement A Document Date Uploaded Supporting Statement for NOIs_OMB No. 0930-0234 _ 11-7-2022.docx 11/07/2022 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded DATA 2000 Attachment A - DATA 2000.pdf Supplementary Document 07/12/2016 Notice of Intent Attachment D - Notice of Intent.pdf Supplementary Document 09/26/2016 Final NOI Physicians 30 and 100 Waiver Form Attachment A Final NOI Physicians 30 and 100 Waiver- 01.24.2020.docx Supplementary Document 01/29/2020 NOI Physicians 30 and 100 Waiver_30E_Revised OIRA Questions and Edits_CLEAN_5-26-2021 0930-0234 NOI _ No Material or Nonsubstantive Change_5-26-2021_CLEAN.docx Supplementary Document 05/26/2021 NOI Qualifying Other Practitioner NP and PA 30 and 100_30E_Revised OIRA Questions and Edits_CLEAN_5-26-2021 NOI Qualifying Other Practitioner NP and PA 30 and 100_30E_Revised OIRA Questions and Edits_CLEAN.docx Supplementary Document 05/26/2021 0930-0234 NOI _ No Material or Nonsubstantive Change_5-26-2021 0930-0234 NOI _ No Material or Nonsubstantive Change_5-26-2021_CLEAN.docx Justification for No Material/Nonsubstantive Change 05/26/2021 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received