ICR Documents

Supporting Statement A Document Date Uploaded 10340 - Supporting Statement A_Encounter Data.docx 03/28/2024 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Justification for Using SSNs SSN Justification.pdf Supplementary Document 08/29/2017 Crosswalk CMS-10340 Dental PRA Crosswalk.pdf Supplementary Document 03/28/2024 Response to Comment Document (60-day) DENTAL PRA RESPONSE Final.docx Supplementary Document 03/14/2024 Non-substantive change request memo Non-sub Change Request Memo Dec 2024.docx Justification for No Material/Nonsubstantive Change 02/03/2025 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received