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CMS-10291 - Supporting Statement B (rev 06-14-2018 by OSORA PRA)
CMS-10291 - Supporting Statement B (rev 06-14-2018 by OSORA PRA).docx
State Collection and Reporting of Dental Provider and Benefit Package Information on the Insure Kids Now! Website and Hotline (CMS-10291)
OMB: 0938-1065
OMB.report
HHS/CMS
OMB 0938-1065
ICR 201801-0938-006
CMS-10291 - Supporting Statement B (rev 06-14-2018 by OSORA PRA)
( Supporting Statement B )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1065 can be found here:
2024-04-25 - Revision of a currently approved collection
2021-01-27 - Revision of a currently approved collection
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Removed. Supporting Statement B is not required.
File Type
application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author
Mitch Bryman
File Modified
0000-00-00
File Created
2021-01-21
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