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Provider-Preventable Conditions under 42 CFR 438.6 and 447.26 and Title 2702 Non-Payment Preprint (Attachment 4.19)
OMB 0938-1136
OMB.report
HHS/CMS
OMB 0938-1136
OMB 0938-1136
Latest Forms, Documents, and Supporting Material
Document
Name
CMS-10364 Supporting Statement [rev 07-06-11].doc
Supporting Statement A
Provider-Preventable Conditions under 42 CFR 447.26(c)(2)
Provider-Preventable Conditions under 447.26(c)(1) and Payment for Services Preprint
Other-CMS-10364 Preprint
Provider-Preventable Conditions under 42 CFR 438.6(f)(2)
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201106-0938-002
Approved without change
New collection (Request for a new OMB Control Number)
2011-06-06
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