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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
CMS-10831_Supporting Statement__a-111424Clean.docx
11/14/2024
Supporting Statement B
Document
Date Uploaded
Supplementary Documents
Title
Document
Document Type
Date Uploaded
Application to enroll form 2025 Crosswalk
CMS-10831_LI NET ApplForm 2025v3 Crosswalk_508.pdf
Supplementary Document
08/06/2024
Direct Reimbursement Request Crosswalk
CMS-10831_LI NET DirectReimbReq 2025v3 Crosswalk_508.pdf
Supplementary Document
08/06/2024
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
An official website of the United States government
The .gov means it's official.
The site is secure.
