ICR Documents

Supporting Statement A Document Date Uploaded CMS-10114. Supporting Statement (final 3-17-25).docx 03/18/2025 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Supporting Statement Redline CMS-10114 - Supporting Statement - 30 day_2024.docx Supplementary Document 10/23/2024 CMS-10114 - Instrument Redline Tracked change_CMS-10114DRAFT.pdf Supplementary Document 11/05/2024 CMS-10114 instrument (highlighted change) CMS-10114_NPI Application Update Form_(highlighted change) 3.24.26.pdf Supplementary Document 04/09/2026 CMS-10114 Non-Substantive Justification Change Memo CMS-10114.Non-substantive Justification Memo.docx Justification for No Material/Nonsubstantive Change 04/13/2026 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received