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5. Tri-dept - notice of agreement of OON rate (data elements) clean 9.28.21
No Surprise Act: IDR Process
5. Tri-dept - notice of agreement of OON rate (data elements) clean 9.28.21
OMB: 1210-0169
OMB.report
TREAS/IRS
OMB 1210-0169
ICR 202203-1545-007CF
IC 248850
5. Tri-dept - notice of agreement of OON rate (data elements) clean 9.28.21
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⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1210-0169 can be found here:
2023-11-03 - Revision of a currently approved collection
2023-02-24 - RCF Recertification
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2021-10-08
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