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Application for Part A (Hospital Insurance)

ICR 202506-0938-008 · OMB 0938-0251 · Object 158793701.

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Document Metadata
File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleApplication for Part A (Hospital Insurance)
AuthorCenters for Medicare & Medicaid Services
File Created2025-07-28
Conversion Statepartial