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Details for State Government Agencies
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Shown below are the details for the item you selected from the list.
| Type of Requestor |
State Government Agencies |
| Requirements |
Letter of Request; Data Use Agreement; Specification Worksheet; Privacy Protected Data Disclaimer; Synopsis of Project; Evidence of Funding |
| Payment Options |
Check or Money Order |
| Assistance |
Research Data Assistance Center (ResDAC); or CMS's Data Use and Policy Hotline at 410-786-3690 |
Last Modified Date : 12/21/2005
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