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

⚠️ Notice: This form may be outdated.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

2025-07-09 - No material or nonsubstantive change to a currently approved collection
2025-01-10 - No material or nonsubstantive change to a currently approved collection

Document [html]

Download: html

The system is under maintenance. It will be back shortly.

File Type

text/html

© 2025 OMB.report | Privacy Policy