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Crosswalk
CMS 1696 Form Changes Crosswalk2024.pdf
Appointment of Representative and Supporting Regulations in 42 CFR 405.910 (CMS-1696)
Crosswalk
OMB: 0938-0950
OMB.report
HHS/CMS
OMB 0938-0950
ICR 202406-0938-011
Crosswalk
( Supplementary Document )
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