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Extraordinary Circumstances form
ICR 201511-0938-001 · OMB 0938-1022 · Object 59797501.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Extraordinary Circumstances form |
| Subject | Centers for Medicare & Medicaid (CMS) Quality Reporting Program Extraordinary Circumstances Extensions/Exemption Request form |
| Author | HSAG |
| File Modified | 2015-03-03 |
| File Created | 2015-03-03 |
| Conversion State | failed_conversion |