Document

Supporting Statement Form CMS-381 (OMB 0938-0273)

ICR 201710-0938-005 · OMB 0938-0273 · Object 77622201.

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 140 · next 2026-07-29 05:37:34)

Missing: html

Download: Source copy (docx)

Primary: docxSource: application/vnd.openxmlformats-officedocument.wordprocessingml.document
Loading document viewer…

Document Metadata

Record metadata
application/vnd.openxmlformats-officedocument.wordprocessingml.document
Supporting Statement Form CMS-381 (OMB 0938-0273)
Identification of Extension Location of Medicare Approved Providers of Outpatient Physical Therapy/Outpatient Speech Pathology (
CMS
2021-01-21
partial