Form CMS-R-74 Attachment 4.32-A: Income and Eligibility Verification S
Income and Eligibility Verification System Reporting and Supporting Regs. (CMS-R-74)
CMS-R-74 - IEVS-PARIS SPA Template
Income and Eligibility Verification System Reporting and Supporting Regs.
OMB: 0938-0467
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0467 can be found here:
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| File Type | application/pdf |
| File Title | Scan-to-email |
| Author | Copier User |
| File Modified | 2015-06-29 |
| File Created | 2015-06-29 |