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Hospital Notices: IM / DND (CMS-10065/10066)
ICR 202212-0938-017
OMB: 0938-1019
Federal Form Document
OMB.report
HHS/CMS
OMB 0938-1019
ICR 202212-0938-017
( )
Forms and Documents
Document
Name
Status
CMS-10065-10066_SupportingStatement_.docx
Supporting Statement A
2023-01-04
(0938-1019) Nonsub Memo_CMS-10065 & 10066.docx
Justification for No Material/Nonsubstantive Change
2023-01-04
2022Crosswalk for CMS-10065-10066_SPANISH.xlsx
Supplementary Document
2022-12-16
IC Document Collections
IC ID
Document
Title
Status
237581
Important Message From Medicare
Instruction
Unchanged
179807
Hospital Discharges Detailed Notice of Discharge
Instruction
Unchanged
ICR Details
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