Document
Required Elements for 1-800 to transmit disenrollment request
ICR 200811-0938-001 · OMB 0938-0741 · Object 9250201.
Document Viewer [doc]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is queued and waiting for the next worker pass. (priority 140 · next 2026-06-10 18:20:28)
Download: Source copy (doc)
Loading document viewer…
Document Metadata
| File Type | application/msword |
|---|---|
| File Title | Required Elements for 1-800 to transmit disenrollment request |
| Author | QE23 |
| Last Modified By | Jim Canavan |
| File Modified | 2008-07-10 |
| File Created | 2008-07-09 |
| Conversion State | partial |