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  3. OMB 0938-0995

OMB control number

Disclosure of Financial Relationships Report ("DFRR") - Section 5006 of the DRA

OMB 0938-0995 · HHS/CMS.

OMB 0938-0995
Latest Forms, Documents, and Supporting Material
Document
Name
Comments10236August30 3pm.doc
Supplementary Document
igcepscdisclosure(2) 8-28-07.xls
Supplementary Document
CMS-10236 Summary of Changes to DFRR 8-30-07 1200pm.doc
Supplementary Document
CMS-10236 coverletter to 500 hospitals -- 8-30-07 3pm.doc
Supplementary Document
CMS-10236 Supporting Statement rev 8-29-07 1100am.doc
Supporting Statement A
Disclosure of Financial Relationships Report ("DFRR") - Section 5006 of the DRA-CMS 10236
Other-Report
All Historical Document Collections
200710-0938-003
Withdrawn
Reinstatement with change of a previously approved collection 2007-10-09
200607-0938-017
Approved without change
No material or nonsubstantive change to a currently approved collection 2006-07-14
200604-0938-009
Approved with change
New collection (Request for a new OMB Control Number) 2006-04-26

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