Document

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it

ICR 201012-0938-008 · OMB 0938-1336 · Object 21833101.

Document Viewer [doc]

Status: The document is viewable, but some background extraction is still pending.

Queue: Repair is queued and waiting for the next worker pass. (priority 140 · next 2026-07-15 21:47:01)

Missing: html

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Primary: htmlSource: application/msword
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Document Metadata
File Typeapplication/msword
File TitleAccording to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it
AuthorHCFA Software Control
Last Modified ByCMS
File Modified2010-08-27
File Created2010-08-27
Conversion Statepartial