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Ambulatory Surgical Center Quality Reporting (ASCQR) Program Withdrawal of Participation Form

ICR 202412-0938-019 · OMB 0938-1270 · Object 151240700.

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Document Metadata
File Typeapplication/octet-stream
File TitleAmbulatory Surgical Center Quality Reporting (ASCQR) Program Withdrawal of Participation Form
SubjectASC Withdrawal of Participation Supplemental Document
KeywordsAmbulatory, Surgical, Center, Quality, Reporting, ASCQR, Program, Withdrawal, Participation, Form
AuthorHSAG
Last Modified ByWriter
File Modified2023-09-06
File Created2026-04-17
Conversion Statecomplete