Document
SBC Template Standard Format-Samoan Translation
ICR 202412-0938-010 · OMB 0938-1146 · Object 150952701.
This document may belong to an older filing. More recent activity for OMB 0938-1146:
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 2026-06-16 12:11:23)
Missing: html
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | SBC Template Standard Format-Samoan Translation |
| Subject | Provides a fillable Summary of Benefits and Coverage template to provide answers to key questions and information about common m |
| Author | Centers for Medicare and Medicaid Services (CMS) |
| File Created | 2025-02-11 |
| Conversion State | partial |