0938-0953

0938-0953.Justification of Non-material change.docx

Notice of Provider Non-Coverage (CMS-10123) and Detailed Explanation of Non-Coverage (CMS-10124)

0938-0953

OMB: 0938-0953

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Justification of Non-material Change (83-C Change Worksheet)

0938-0953



CMS is submitting a request for a non-substantive change for the information collection approved under 0938-0953. Specifically, we are submitting the Spanish language versions of forms CMS-10123 and CMS-10124. The Spanish language versions were not submitted with the original submission because translation services are costly. The agency wanted to wait until the English language versions of the forms were final before incurring translation costs.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorCMS
File Modified0000-00-00
File Created2021-01-31

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