- Form #
- CMS R-0235MC
- Form Title
- Compliance Plan for Accounting for Disclosures of Privacy Protected Data Released From a System of Records (SOR) Housed in a State-Located Server
- Revision Date
- 03/01/2006
- O.M.B. #
- 0938-0734
- O.M.B. Expiration Date
- 12/31/2014
- CMS Manual
- N/A
- Special Instructions
- N/A
