ICR Documents

Supporting Statement A Document Date Uploaded 04062023 - Supporting Statement A - CICP 30-Day Extension Request OMB 0915-0334.docx 04/06/2023 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded 10112023 - (01) Admin 60-day Letter Template 10112023 - (01) Admin 60-day Letter Template - CLEAN.docx Supplementary Document 01/05/2024 10112023 - (02) Insufficient Documentation - Blank RFB Form 10112023 - (02) Insufficient Documentation - Blank RFB Form - CLEAN.docx Supplementary Document 01/05/2024 10112023 - (03) Insufficient Documentation - Final 60-day Letter 10112023 - (03) Insufficient Documentation - Final 60-day Letter - CLEAN.docx Supplementary Document 01/05/2024 10112023 - (04) Insufficient Documentation - Initial 60-day Letter - CLEAN 10112023 - (04) Insufficient Documentation - Initial 60-day Letter - CLEAN.docx Supplementary Document 01/05/2024 10112023 - (05) Response Form - CLEAN 10112023 - (05) Response Form - CLEAN.docx Supplementary Document 01/05/2024 10112023 - (06) Insufficient Records - Benefits Determination Letter - CLEAN 10112023 - (06) Insufficient Records - Benefits Determination Letter - CLEAN.docx Supplementary Document 01/05/2024 07. Medical Last Chance Letter 07. Medical Last Chance Letter.docx Supplementary Document 01/05/2024 01042024 - (00) OMB NonSubstantive Change Request 01042024 - (00) OMB NonSubstantive Change Request.docx Justification for No Material/Nonsubstantive Change 01/05/2024 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received