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Rural Health Clinic Cost Report (CMS-222-17)
Independent Rural Health Clinic Cost Report (CMS-222-17)
OMB: 0938-0107
IC ID: 7853
OMB.report
HHS/CMS
OMB 0938-0107
ICR 202410-0938-004
IC 7853
( )
Documents and Forms
Document Name
Document Type
R2P246i.pdf
Instruction
222-17 Rural Health Clinic Cost Report
R2P246f.xlsx
Form
Information Collection (IC) Details
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