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CMS 1135 Waiver/Flexibility Request and Inquiry Web Portal Form
ICR 202606-0938-015 · OMB 0938-1384 · Object 170061400.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | CMS 1135 Waiver/Flexibility Request and Inquiry Web Portal Form |
| Author | Saunders, Adriane (CMS/CCSQ) |
| Last Modified By | Acrobat PDFMaker 25 for Word |
| File Modified | 2026-03-05 |
| File Created | 2026-03-03 |
| Conversion State | complete |