Dynamic List Information
Dynamic List Data
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
2006-03-01
O.M.B. #
0938-0734
O.M.B. Expiration Date
2014-12-31
Special Instructions
N/A