Download:
pdf |
pdfRevisions Crosswalk (Form 276-22)
Budget Forecast
Note: In Changes to the Application column, the quoted words are what are to be entered. Example in issue #1 is “276-22”; do not enter the words that
explain the change and that are outside of the quotations.
Issue
#
1.
Page #
Section
Worksheet S
Row 59
2.
Worksheet S
Row 68
3.
Worksheet A
Row 60
4.
Worksheet A
5.
Worksheet B
Parts
I,II,III,V
Row 22
6.
7.
Worksheet B
Worksheet A
Part II – Line
7a 7b 7c
Columns 1,2
N/A
Action to be
performed
Change form
number
Remove
Changes to the Application
Changed form number 276-19 to “276-22”.
Remove Form Expiration Date: 8/31/2022
Change form
number
Formatting
Changed form number 276-19 to “276-22”.
Change form
number
Formatting
Add a tab
Changed form number 276-19 to “276-22”.
Replace cells with “XXXXX” with shading
Replace cells with “XXXXX” with shading
Add an A Part II – Line 7a 7b 7c tab for
special admin costs supporting documentation
Reason for the Change
To reflect the most recent change in the
form number/year.
This date is not determined until approval
of the PRA package renewal.
To reflect the most recent change in the
form number/year.
To be consistent with other cells in the
worksheet.
To reflect the most recent change in the
form number/year.
To be consistent with other worksheets.
CR instructions requests supporting
documentation for these costs.
Page 1 of 1
File Type | application/pdf |
File Title | Issue # |
Author | CMS |
File Modified | 2022-01-19 |
File Created | 2022-01-10 |