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Disaster Extension/Waiver Request Form
ICR 201504-0938-002 · OMB 0938-1022 · Object 54716001.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Disaster Extension/Waiver Request Form |
| Subject | Disaster Extension Waiver Request Form |
| Keywords | Hospital, Inpatient, Quality, Reporting, Program, Disaster, Extension/Waiver, Request, Form |
| Author | CMS |
| Last Modified By | Writer |
| File Modified | 2014-02-20 |
| File Created | 2026-04-17 |
| Conversion State | complete |