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CMS-10816 - Supporting Statement A
CMS-10816 - Supporting Statement A.docx
Medicare Part C and Medicare Part D Enrollment Form Interviews (CMS-10816)
OMB: 0938-1440
OMB.report
HHS/CMS
OMB 0938-1440
ICR 202211-0938-013
CMS-10816 - Supporting Statement A
( Supporting Statement A )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1440 can be found here:
2023-12-08 - No material or nonsubstantive change to a currently approved collection
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