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CMS-1696 Appointment of Representative (Spanish)
Appointment of Representative and Supporting Regulations in 42 CFR 405.910 (CMS-1696)
CMS-1696-508_Spanish_2024
Appointment of Representative (Beneficiary)
OMB: 0938-0950
OMB.report
HHS/CMS
OMB 0938-0950
ICR 202406-0938-011
IC 8804
CMS-1696 Appointment of Representative (Spanish)
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