Public Burden Statement Screenshot
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
Public Burden Statement Screenshot
OMB: 0915-0212
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0915-0212 can be found here:
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| File Type | application/pdf |
| File Modified | 2021-06-04 |
| File Created | 2021-06-04 |