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ICR 202009-0990-002
OMB: 0990-0477
Federal Form Document
OMB.report
HHS/HHSDM
OMB 0990-0477
ICR 202009-0990-002
( )
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0990-0477 can be found here:
2024-07-24 - Reinstatement with change of a previously approved collection
Forms and Documents
Document
Name
Status
Supporting Doc IRPT PRA_0990_OMB_New Collection.pdf
Supporting Statement A
2020-12-30
Incident Report Form with Instructions .pdf
Supplementary Document
2020-09-18
IC Document Collections
IC ID
Document
Title
Status
245427
Incident Report
New
245426
Incident Report
New
245425
Incident Report
New
ICR Details
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