ICR Documents

Supporting Statement A Document Date Uploaded ETO 0584 0653 Supporting Statement ROCIS 5.21.24 clean .docx 05/21/2024 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Appendix 17 - Provider Determination Notification.docx Appendix 17 - Provider Determination Notification.docx Supplementary Document 03/12/2021 0653 Burden Spreadsheet Appendix D OMB 0584-0653 ET Case Mgmt Services Burden Table.xlsx Supplementary Document 03/06/2024 Burden Narrative Appendix C Burden Narrative 2024 renewal.docx Supplementary Document 03/06/2024 Legal Authority Appendix A Legal Authority FNA.pdf Supplementary Document 03/06/2024 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received