OMB control number
Provider-Preventable Conditions under 42 CFR 438.6 and 447.26 and Title 2702 Non-Payment Preprint (Attachment 4.19)
OMB 0938-1136 · HHS/CMS.
OMB 0938-1136
Latest Forms, Documents, and Supporting Material
Document Name |
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Supporting Statement A |
CMS-10364 Supporting Statement [rev 07-06-11].doc
Provider-Preventable Conditions under 42 CFR 447.26(c)(2) All Historical Document Collections
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Approved without change |
New collection (Request for a new OMB Control Number) | 2011-06-06 |