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Waiver Requests (States)
The PACE Organization Application Process in 42 CFR Part 460 (CMS-10631)
OMB: 0938-1326
IC ID: 223826
OMB.report
HHS/CMS
OMB 0938-1326
ICR 202204-0938-003
IC 223826
( )
Documents and Forms
Document Name
Document Type
Form CMS-10631
Waiver Requests (States)
Form and Instruction
CMS-10631 PACE Application
PACE Paper Application_01212020_FINAL.pdf
Form and Instruction
Information Collection (IC) Details
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