ICR Documents

Supporting Statement A Document Date Uploaded CMS-10780.Supporting Statement Part A (30-day).docx 06/06/2025 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded CMS-10780 - Appendix II - Standard Notice Consent CMS-10780 Appendix II - Standard Notice Consent Updated - REDLINE.docx Supplementary Document 08/17/2026 Nonsubstantive Change Memo CMS-10780 - Non-substantive change.docx Justification for No Material/Nonsubstantive Change 08/17/2026 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received