ICR Documents

Supporting Statement A Document Date Uploaded CMS-10340 - Supporting Statement A_Encounter Data PRA_022223.docx 02/22/2023 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Justification for Using SSNs SSN Justification.pdf Supplementary Document 08/29/2017 Crosswalk PRA Forms Revisions - Crosswalk_021723.xlsx Supplementary Document 02/22/2023 Response to Comment Document United BCBSA_Response to Public Comments - CMS-10340_final.pdf Supplementary Document 04/30/2021 Non-Substantive Justification Memo Non-sub Change Request Memo_ED PRA_022223.docx Justification for No Material/Nonsubstantive Change 02/22/2023 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received