ICR Documents

Supporting Statement A Document Date Uploaded CMS-10653 Supporting statement 60d-f.docx 02/02/2023 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded CMS-10653 Model Notice to HHS CMS-10653 Model Notice to HHS_rev 9-14-22.pdf Supplementary Document 02/02/2023 Appendix I - Notice Issuer Third Party Employer CMS-10653 Appendix I - Notice-Issuer-Third-Party-Employer-Preventive.pdf Supplementary Document 02/02/2023 Crosswalk CMS-10653 Summary of Changes 1-24-2023.pdf Supplementary Document 02/02/2023 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received