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Evaluation of the Rural Community Hospital Demonstration
OMB 0938-1253
OMB.report
HHS/CMS
OMB 0938-1253
OMB 0938-1253
Latest Forms, Documents, and Supporting Material
Document
Name
Form CMS-10508 RCHD Hospital Interview Protocols and Annual Progress Report Template -- public hospitals
Form and Instruction
Form CMS-10508 RCHD Evaluation Interview Protocols and Annual Progress Report Tool -- private hospitals
Form and Instruction
CMS-10508 supporting_statement 7Nov2013 final.docx
Supporting Statement A
RCHD Hospital Interview Protocols and Annual Progress Report Template -- public hospitals
Form and Instruction
RCHD Evaluation Interview Protocols and Annual Progress Report Tool -- private hospitals
Form and Instruction
All Historical Document Collections
201402-0938-009
Approved with change
New collection (Request for a new OMB Control Number)
2014-02-12
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