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CMS-10065/10066 Detailed Notice of Discharge
Hospital Notices: IM / DND (CMS-10065/10066)
CMS10066_DND_Spanish_2022
Hospital Discharges Detailed Notice of Discharge
OMB: 0938-1019
OMB.report
HHS/CMS
OMB 0938-1019
ICR 202212-0938-014
IC 179807
CMS-10065/10066 Detailed Notice of Discharge
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1019 can be found here:
2023-01-05 - No material or nonsubstantive change to a currently approved collection
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