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Analysis of Transportation Barriers to Utilization of Medicare Services by American Indian and Alaska Native Medicare Beneficiaries
OMB 0938-1182
OMB.report
HHS/CMS
OMB 0938-1182
OMB 0938-1182
Latest Forms, Documents, and Supporting Material
Document
Name
Form CMS-10399 Survey
Form and Instruction
CMS-10399 Supporting Statement Part B v5 CLEAN_rev10-15-12.pdf
Supporting Statement B
CMS Transportation Barriers Crosswalk.pdf
Supplementary Document
CMS-10399 Supporting Statement Part A v5 CLEAN_rev_10-15-12.pdf
Supporting Statement A
Survey
Form and Instruction
All Historical Document Collections
201204-0938-005
Approved with change
New collection (Request for a new OMB Control Number)
2012-04-26
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