Crosswalk

CMS 10752 1135 Waiver_Flexibility Request and 1135 Inquiry Form Revision Table - 2024 Hurricane Debby.docx

Submissions of 1135 Waiver Request Automated Process (CMS-10752)

Crosswalk

OMB: 0938-1384

Document [docx]
Download: docx | pdf

Revisions to 1135 Waiver Request Webform


Issue #

Page #

Section

Action to be performed

Changes to the Application

Reason for the Change

1

PHE dropdown

Update Content (08-05-2024)

Added to PHE dropdown: 2024 Hurricane Debby XX/XX/XXXX – XX/XX/XXXX


New PHE

2

PHE dropdown options

Update Content (08-05-2024)

Added to PHE options: 2024 Hurricane Debby XX/XX/XXXX – XX/XX/XXXX


New PHE


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorAlexander Rooke
File Modified0000-00-00
File Created2024-09-12

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