ICR Documents

Document Date Uploaded
CMS 10752 .SupportingStatementPartA (30-day) 080824 CLEAN FINAL.docx 08/09/2024

Document Date Uploaded

Title Document Document Type Date Uploaded
Crosswalk CMS 10752 1135 Waiver_Flexibility Request and 1135 Inquiry Form Revision Table - 2024 Hurricane Helene.docx Supplementary Document 09/25/2024
Mock-up CMS 10752 Mock-Up 1135 Waiver-Inquiry Collection Instrument (2024 Hurricane Helene).pdf Supplementary Document 09/25/2024
New Instrument CMS 10752 NEW 1135 Waiver-Inquiry Collection Instrument (2024 Hurricane Helene).pdf Supplementary Document 09/25/2024
CMS-10752 non-substantive change CMS 10752 Non-Substantive Change_2024 Hurricane Helene.docx Justification for No Material/Nonsubstantive Change 09/25/2024

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