[Code of Federal Regulations] [Title 42, Volume 4] [Revised as of October 1, 2006] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR505.11] [Page 1114] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) PART 505_ESTABLISHMENT OF THE HEALTH CARE INFRASTRUCTURE IMPROVEMENT Subpart A_Loan Criteria Sec. 505.11 Loan application requirements and procedures. (a) The loan application must be received by CMS no later than 5 p.m. e.d.t. on December 29, 2005. (b) The requested information must be typed or clearly printed in ink and the loan recipient must mail or deliver an original copy of the loan to CMS. The loan application must contain the following information: (1) Qualifying hospital's name and street address. (2) Qualifying hospital's Medicare provider number. (3) Name, title, and telephone number of a contact person submitting the application. (4) Provide all appropriate supporting documentation for each answer made on the loan application.