Crosswalk - Waiver Flexibility Request

CMS 10752 1135 Waiver_Flexibility Request and 1135 Inquiry Form Revision Table - End of COVID-19 PHE.docx

Submissions of 1135 Waiver Request Automated Process (CMS-10752)

Crosswalk - Waiver Flexibility Request

OMB: 0938-1384

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1384 can be found here:

2025-01-10 - No material or nonsubstantive change to a currently approved collection
2024-10-08 - No material or nonsubstantive change to a currently approved collection

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