Request for Emergency Clearance
PRAEmergencyRequest.pdf
Coverage of Certain Preventive Services under the Affordable Care Act—Private Sector
Request for Emergency Clearance
OMB: 1210-0150
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1210-0150 can be found here:
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| File Type | application/pdf |
| File Modified | 2017-09-21 |
| File Created | 2017-09-21 |