IDR Entity Certification and IDR Entity Monthly Reporting
No Surprise Act: IDR Process
8. Tri-dept - notice of petition for certification denial or revocation clean 9.28.21
IDR Entity Certification and IDR Entity Monthly Reporting
OMB: 1210-0169
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1210-0169 can be found here:
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pdf| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Martel, Marguerite |
| File Modified | 0000-00-00 |
| File Created | 2023-08-28 |