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Alternative Benefits State Plan Amendment Health Opportunity Accounts Demonstration Program (CMS-10216)
OMB 0938-1007
OMB.report
HHS/CMS
OMB 0938-1007
OMB 0938-1007
Latest Forms, Documents, and Supporting Material
Document
Name
CMS-10216 HOA3yearSupporting Statement.doc
Supporting Statement A
Alternative Benefits State Plan Amendment HOA Demonstration Program (CMS-10216)
Instruction
All Historical Document Collections
200706-0938-006
Approved without change
Extension without change of a currently approved collection
2007-06-20
200612-0938-006
Approved without change
New collection (Request for a new OMB Control Number)
2006-12-15
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