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  3. OMB 0938-0990

OMB control number

Model Creditable Coverage Disclosure Notices

OMB 0938-0990 · HHS/CMS.

OMB 0938-0990
Latest Forms, Documents, and Supporting Material
Document
Name
Form CMS-10182 NC-SP Model Creditable Coverage Disclosure Notices (CMS-10182)
Form and Instruction
CC Notice Crosswalk Document.DOC
Supplementary Document
CMS-10182 CC Supporting Statement PRA Disclosure to Ind 06.06.08.doc
Supporting Statement A
Model Creditable Coverage Disclosure Notices (CMS-10182)
Form and Instruction
Model Creditable Coverage Disclosure Notices (CMS-10182)
Other-Guidance
Model Creditable Coverage Disclosure Notices (CMS-10182)
Other-Guidance
All Historical Document Collections
200810-0938-015
Approved without change
Revision of a currently approved collection 2008-10-29
200805-0938-003
Approved without change
No material or nonsubstantive change to a currently approved collection 2008-05-06
200610-0938-010
Approved with change
Revision of a currently approved collection 2006-10-18
200603-0938-004
Approved without change
New collection (Request for a new OMB Control Number) 2006-03-03

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