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Appendix A - SHOP Eligibility Determination Form
ICR 201908-0938-013 · OMB 0938-1193 · Object 94417601.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Appendix A - SHOP Eligibility Determination Form |
| Subject | Appendix A - Small Business Health Options Program (SHOP) Eligibility Determination Form |
| Author | CMS |
| File Modified | 2019-08-19 |
| File Created | 2019-04-23 |
| Conversion State | complete |