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Issuer Data Entry Form
ICR 201105-0938-006 · OMB 0938-1086 · Object 24864101.
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Document Metadata
| File Type | application/vnd.ms-excel |
|---|---|
| File Title | Issuer Data Entry Form |
| Subject | Health Insurance Oversight |
| Author | OCIIO |
| Last Modified By | CMS |
| File Modified | 2011-05-16 |
| File Created | 2010-04-15 |
| Conversion State | partial |