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Quality Improvement Strategy Implementation Plan and Progress Report Form (New Issuer)
Quality Improvement Strategy Implementation Plan and Progress Report (CMS-10540)
OMB: 0938-1286
IC ID: 217708
OMB.report
HHS/CMS
OMB 0938-1286
ICR 202403-0938-011
IC 217708
( )
Documents and Forms
Document Name
Document Type
Form CMS-10540
Quality Improvement Strategy Implementation Plan and Progress Report Form (New Issuer)
Form and Instruction
CMS-10540 QIS-Implementation-Plan
CMS-10540 - Implementation_Plan_Form_v5.pdf
Form and Instruction
cms-10540 Modification Summary Supplement
CMS-10540 - Modification_Summary_Supplement_Form_v5.pdf
Form and Instruction
CMS-10540 QIS Progress Report
CMS-10540 - Progress_Report_Form_v5.pdf
Form and Instruction
Information Collection (IC) Details
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