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CMS-10631 HPMS_ SAE PACE Application
The PACE Organization Application Process in 42 CFR Part 460 (CMS-10631)
PACE Blank Attestations - SAE
Application Requirements (POs)
OMB: 0938-1326
OMB.report
HHS/CMS
OMB 0938-1326
ICR 202204-0938-003
IC 223821
CMS-10631 HPMS_ SAE PACE Application
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1326 can be found here:
2024-11-12 - Revision of a currently approved collection
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File Title
PACE Blank Attestations (2).pdf
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B232
File Modified
2022-04-19
File Created
2022-04-14
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