3 Revised Questioned Cost Attestation Form
COVID–19 Provider Relief Programs Single and Commercial Audits and Delinquent Audit Reporting Submission Activities
Questioned Cost Attestation Form_Final Revised 3-15-24 Clean
Provider Relief Fund (PRF) Questioned Cost Attestation Form
OMB: 0906-0083
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0906-0083 can be found here:
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pdf| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | P4 Reconsiderations Form Template V5 1-27-2022.docx.pdf |
| Author | EWilliams1 |
| File Modified | 0000-00-00 |
| File Created | 2024-07-22 |