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Online CMS SHOP Eligibility Form
ICR 202301-0938-019 · OMB 0938-1193 · Object 128468101.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Online CMS SHOP Eligibility Form |
| Subject | Small Business Health Options Program, SHOP, eligiblity, small business, non-profit organization, owner, employees, healthcare c |
| Author | Centers for Medicare & Medicaid Services (CMS) |
| File Modified | 2023-01-13 |
| File Created | 2023-01-06 |
| Conversion State | complete |