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CMS-855O - Supporting statement - 30-dayf
CMS-855O - Supporting statement - 30-dayf.docx
Medicare Registration Application (CMS-855O)
OMB: 0938-1135
OMB.report
HHS/CMS
OMB 0938-1135
ICR 202301-0938-008
CMS-855O - Supporting statement - 30-dayf
( Supporting Statement A )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1135 can be found here:
2023-07-14 - Revision of a currently approved collection
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