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OMB Control Number 09381148 Expiration date: 10/31/2014 Modified Adjusted Gross Income (MAGI) Conversion Plan This MAGI Conversion Plan is being submitted to CMS by Florida as required by Section
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The OMB control number 0938-1148 is assigned to a specific information collection approved by the Office of Management and Budget.
The entities or individuals specified in the information collection request are required to file OMB control number 0938-1148.
To fill out OMB control number 0938-1148, follow the instructions provided in the information collection request form.
The purpose of OMB control number 0938-1148 is to collect specific information as requested in the information collection approval.
The specific information that must be reported on OMB control number 0938-1148 is outlined in the information collection request.
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