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CMS-10210 IQR Reconsideration Request Form
Hospital Reporting Initiative--Hospital Quality Measures (CMS-10210)
5. CMS Quality Reporting Program APU Reconsideration Request Form_clean(508)ff
Quality Measures and Procedures for Hospital Reporting of Quality Data
OMB: 0938-1022
OMB.report
HHS/CMS
OMB 0938-1022
ICR 202211-0938-014
IC 204350
CMS-10210 IQR Reconsideration Request Form
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1022 can be found here:
2024-09-16 - Revision of a currently approved collection
2024-06-17 - Revision of a currently approved collection
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