Document
Supporting Statement for the Information Collection Requirements (ICR)
ICR 201012-0938-016 · OMB 0938-0612 · Object 22063201.
This document may belong to an older filing. More recent activity for OMB 0938-0612:
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 2026-07-16 03:50:09)
Missing: html
Download: Source copy (doc)
Loading document viewer…
Document Metadata
| File Type | application/msword |
|---|---|
| File Title | Supporting Statement for the Information Collection Requirements (ICR) |
| Author | CMS |
| Last Modified By | Mitch |
| File Modified | 2010-12-17 |
| File Created | 2010-10-01 |
| Conversion State | partial |