Document
Revalidation of enrollment information
ICR 201210-0938-010 · OMB 0938-1056 · Object 36847201.
This document may belong to an older filing. More recent activity for OMB 0938-1056:
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is in progress, but the document is still incomplete and remains in the worker queue. (priority 70 · next 2026-08-16 22:46:08)
Missing: html
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Revalidation of enrollment information |
| Author | CMS |
| File Created | 2021-01-30 |
| Conversion State | partial |