Document
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it
ICR 201710-0938-002 · OMB 0938-0921 · Object 77441301.
This document may belong to an older filing. More recent activity for OMB 0938-0921:
Document Viewer [doc]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is queued and waiting for the next worker pass. (priority 140 · next 2026-08-20 09:57:50)
Missing: html
Download: Source copy (doc)
Loading document viewer…
Document Metadata
| File Type | application/msword |
|---|---|
| File Title | According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it |
| Author | HCFA Software Control |
| Last Modified By | SYSTEM |
| File Modified | 2017-10-04 |
| File Created | 2017-10-04 |
| Conversion State | partial |