Document
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it
ICR 201310-0938-014 · OMB 0938-0935 · Object 43009301.
This document may belong to an older filing. More recent activity for OMB 0938-0935:
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 2026-05-15 03:36:31)
Missing: html
Download: Source copy (doc)
Loading document viewer…
Document Metadata
| File Type | application/msword |
|---|---|
| File Title | According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it |
| Author | HCFA Software Control |
| Last Modified By | MELISSA STAUD |
| File Modified | 2013-09-17 |
| File Created | 2013-09-17 |
| Conversion State | partial |