Document

Microsoft Word - CMS Form-304a Prior Quarter Adjustment Statement (PQAS)_07.2021_Final

ICR 202403-0938-004 · OMB 0938-0676 · Object 140487001.

Document Viewer [pdf]

Status: Original and derived artifacts are available for this document.

Download: pdf

Primary: pdfSource: application/octet-stream
Loading document viewer…
Document Metadata
File Typeapplication/octet-stream
File TitleMicrosoft Word - CMS Form-304a Prior Quarter Adjustment Statement (PQAS)_07.2021_Final
AuthorLOKG
File Modified2020-11-03
File Created2020-11-03
Conversion Statecomplete