Document
Appointment of Representative
ICR 202406-0938-011 · OMB 0938-0950 · Object 143843701.
This document may belong to an older filing. More recent activity for OMB 0938-0950:
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is in progress, but the document is still incomplete and remains in the worker queue. (priority 70 · next 2026-06-05 08:02:36)
Missing: html
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Appointment of Representative |
| Subject | Appointment of Representative |
| Author | Centers for Medicare and Medicaid Services |
| File Created | 2024-09-13 |
| Conversion State | partial |