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SUPPORTING STATEMENT FOR FORM CMS22414 FREESTANDING FEDERALLY QUALIFIED HEALTH PENTECOST REPORT.×BACKGROUND CMS is requesting the Office of Management and Budget (OMB) review and approve this request
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Supporting statement for form is a document that provides additional information or details related to the main form.
The individual or entity filling out the main form may be required to file a supporting statement for form if necessary.
The supporting statement for form can be filled out by providing the required information in the provided fields or sections.
The purpose of supporting statement for form is to provide additional information or explanation that may be relevant to the main form.
The information reported on the supporting statement for form may vary depending on the specific requirements of the main form.
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