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Attachment 3a: MIPCD Administrative Costs Form, Years 1-3 with Informed Consent
ICR 201410-0938-001 · OMB 0938-1219 · Object 50654801.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Attachment 3a: MIPCD Administrative Costs Form, Years 1-3 with Informed Consent |
| Subject | Attachment 3a, MIPCD Administrative Costs Form, Years 1-3, Informed Consent |
| Author | Centers for Medicare and Medicaid Services |
| File Modified | 2014-06-23 |
| File Created | 2014-05-19 |
| Conversion State | complete |