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Application for Medicare Part A and Part B Special Enrollment Period
ICR 202501-0938-010 · OMB 0938-1426 · Object 151817303.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Application for Medicare Part A and Part B Special Enrollment Period |
| Subject | Application for Medicare Part A and Part B Special Enrollment Period |
| Author | Centers for Medicare and Medicaid Services |
| File Created | 2025-07-28 |
| Conversion State | partial |