Submissions of 1135 Waiver Request Automated Process (CMS-10752)
ICR 202405-0938-028
OMB: 0938-1384
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1384 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Form and Instruction |
Modified |
Form and Instruction |
Modified |
Supporting Statement A | 2024-05-31 |
Justification for No Material/Nonsubstantive Change | 2023-08-29 |
Form CMS-10752 Acute Hospital Care at Home
CMS 10752 .SupportingStatementPartA (30-day).docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 245795 | Modified | ||
| 243968 | Modified |
Acute Hospital Care at HomeICR Details
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