Document
Disaster Extension/Waiver Request Form
ICR 201210-0938-002 · OMB 0938-1022 · Object 35189601.
This document may belong to an older filing. More recent activity for OMB 0938-1022:
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is queued and waiting for the next worker pass. (priority 70 · next 2026-07-28 17:00:52)
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Disaster Extension/Waiver Request Form |
| Subject | Disaster Extension Waiver Request Form |
| Author | CMS |
| File Created | 2021-01-30 |
| Conversion State | partial |