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CMS-10752 Helath Care Facility Status Collection Form
Submissions of 1135 Waiver Request Automated Process (CMS-10752)
Health Care Facility Status Collection Instrument 2-9-21
1135 Waiver Request Automated Process
OMB: 0938-1384
OMB.report
HHS/CMS
OMB 0938-1384
ICR 202303-0938-012
IC 243968
CMS-10752 Helath Care Facility Status Collection Form
( )
⚠️ Notice: This form may be outdated.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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