OMB control number
Additional State Plan Option for Providing Premium Assistance State Plan Templates under Title XIX and XXI (CMS-10300)
OMB 0938-1084 · HHS/CMS.
OMB 0938-1084
Latest Forms, Documents, and Supporting Material
Document Name |
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Form and Instruction |
Supporting Statement A |
Form CMS-10300 Additional State Plan Option for Providing Premium Assistance State Plan Templates under Title XIX and XXI (CMS-10300)
CMS-10300 Supporting Statement for Premium Assistance.doc
Additional State Plan Option for Providing Premium Assistance State Plan Templates under Title XIX and XXI (CMS-10300) All Historical Document Collections
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Approved with change |
New collection (Request for a new OMB Control Number) | 2010-02-04 |