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OMB No. 0917-0036-12, Mini-Supporting Statement for Physician & Dental Customer Service Questionnaire
0917-0036-12, Mini Supporting Statement for Physician & Dental Customer Service Questionnaire.pdf
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB No. 0917-0036-12, Mini-Supporting Statement for Physician & Dental Customer Service Questionnaire
OMB: 0917-0036
OMB.report
HHS/IHS
OMB 0917-0036
ICR 201205-0917-002
IC 204462
OMB No. 0917-0036-12, Mini-Supporting Statement for Physician & Dental Customer Service Questionnaire
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0917-0036 can be found here:
2022-01-13 - Extension without change of a currently approved collection
2018-07-12 - Extension without change of a currently approved collection
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2012-10-09
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