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Form CMS 18F5 Application for Part A (Hospital Insurance)
ICR 202304-0938-004 · OMB 0938-0251 · Object 130945801.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Form CMS 18F5 Application for Part A (Hospital Insurance) |
| Subject | APPLICATION FOR PART A (HOSPITAL INSURANCE), CMS-18F, fillable form |
| Author | Centers for Medicare and Medicaid Services |
| File Modified | 2023-04-10 |
| File Created | 2020-11-23 |
| Conversion State | complete |