Worksheet for Recording Results of Medicare Site Visits of Independent Diagnostic Testing Facilities (IDTFs) (CMS-10221)

ICR 202306-0938-004

OMB: 0938-1029

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-10221 Worksheet for Recording Results of Medicare Site Visits of Independent Diagnostic Testing Facilities (IDTFs) Form and Instruction	Modified
CMS-10221 - Supporting Statement --.docx Supporting Statement A	2023-06-06

IC Document Collections

IC ID	Document Title	Status
181196	Worksheet for Recording Results of Medicare Site Visits of Independent Diagnostic Testing Facilities (IDTFs) Form and Instruction	Modified