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IDR Entity Certification and IDR Entity Monthly Reporting
No Surprise Act: IDR Process
APPENDIX 6 - IDRE Written Payment Determination FINAL CHANGE 2.23.23
IDR Entity Certification and IDR Entity Monthly Reporting
OMB: 1210-0169
OMB.report
TREAS/IRS
OMB 1210-0169
ICR 202302-1545-001CF
IC 252196
IDR Entity Certification and IDR Entity Monthly Reporting
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1210-0169 can be found here:
2023-11-03 - Revision of a currently approved collection
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Meidell, Matthew R - EBSA
File Modified
0000-00-00
File Created
2023-08-26
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