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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
supporting statement A_disenrollment reasons survey_V2_clean.docx
06/26/2023
Supporting Statement B
Document
Date Uploaded
CMS-10316_supporting statement B_disenrollment reasons survey_.docx
04/26/2023
Supplementary Documents
Title
Document
Document Type
Date Uploaded
MA PDP- Crosswalk
MA_PD Disenrollment Survey crosswalk_OMB__1.25.2023_508Compliant.pdf
Supplementary Document
04/26/2023
MA Only - Crosswalk
MA-Only Disenrollment Survey crosswalk_OMB_1.25.2023_508Compliant.pdf
Supplementary Document
04/26/2023
PDP Only - Crosswalk
PDP Disenrollment Survey crosswalk_OMB__1.25.2023_508Compliant.pdf
Supplementary Document
04/26/2023
Response to Comment Documents
Response to Public Comments_Final.docx
Supplementary Document
06/26/2023
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Martin, Jennifer
UHC Comments - Disenrollment Reasons Survey.pdf
UnitedHealthcare
Other -- Reginfo.gov
Simple
05/30/2023
05/30/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.