CMS R-0235 (66 KB)

Submitted by Matthew.Gregor… on Mon, 11/04/2019 - 07:06
Form #
CMS R-0235 (66 KB)
Form Title
Data Use Agreement (DUA) (Agreement for use of Centers for Medicare and Medicaid Services (CMS) data containing individual-specific information
Revision Date
2010-06-01
O.M.B. #
0938-0734
O.M.B. Expiration Date
2014-12-31
CMS Manual
N/A
Special Instructions
N/A