Document
Hospital IQR Program Decline to Participation
ICR 201210-0938-002 · OMB 0938-1022 · Object 35189901.
This document may belong to an older filing. More recent activity for OMB 0938-1022:
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 70 · next 2026-05-01 13:00:34)
Download: Source copy (doc)
Loading document viewer…
Document Metadata
| File Type | application/msword |
|---|---|
| File Title | Hospital IQR Program Decline to Participation |
| Subject | Decline to Participate Form |
| Author | CMS |
| Last Modified By | CTAC |
| File Modified | 2012-10-02 |
| File Created | 2012-10-02 |
| Conversion State | partial |