ICR Documents

Supporting Statement A Document Date Uploaded CMS 10752 .SupportingStatementPartA (30-day) 080824 CLEAN FINAL.docx 08/09/2024 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Crosswalk CMS 10752 1135 Waiver_Flexibility Request and 1135 Inquiry Form Revision Table - 2024 Hurricane Francine.pdf Supplementary Document 09/12/2024 Mock-up CMS 10752 Mock-Up 1135 Waiver-Inquiry Collection Instrument (2024 Hurricane Francine).pdf Supplementary Document 09/12/2024 New Instrument CMS 10752 NEW 1135 Waiver-Inquiry Collection Instrument (2024 Hurricane Francine).pdf Supplementary Document 09/12/2024 CMS-10752 non-substantive change CMS 10752 Non-Substantive Change_2024 Hurricane Francine.docx Justification for No Material/Nonsubstantive Change 09/12/2024 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received