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CMS-304 and CMS-304a – One-Time System Updates
Reconciliation of State Invoice (ROSI) (CMS-304) and Prior Quarter Adjustment Statement (PQRS) (CMS-304a)
OMB: 0938-0676
IC ID: 245951
OMB.report
HHS/CMS
OMB 0938-0676
ICR 202403-0938-004
IC 245951
( )
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