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  3. OMB 0938-1046

OMB control number

Certificate of Data Destruction for Data Acquired from the Centers for Medicare and Medicaid Services

OMB 0938-1046 · HHS/CMS.

OMB 0938-1046
Latest Forms, Documents, and Supporting Material
Document
Name
Form CMS-10252 Certificate of Data Destruction for Data Acquired from the Centers for Medicare and Medicaid Services
Form and Instruction
CMS-10252 Supporting_Statement_-_Part_A Apr 2014.doc
Supporting Statement A
Certificate of Data Destruction for Data Acquired from the Centers for Medicare and Medicaid Services
Form and Instruction
All Historical Document Collections
201409-0938-009
Approved without change
Extension without change of a currently approved collection 2014-09-29
201107-0938-004
Approved without change
Revision of a currently approved collection 2011-07-11
200803-0938-002
Approved without change
New collection (Request for a new OMB Control Number) 2008-03-11

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