OMB
.report
Search
0920-0891 WTCHP Designated Representative HIPAA Authorization_10FE
[NIOSH] World Trade Center Health Program Enrollment, Appeals & Reimbursement
App L-Designated Representative HIPAA Authorization
HIPAA Authorization to Release Information
OMB: 0920-0891
OMB.report
HHS/CDC
OMB 0920-0891
ICR 202502-0920-001
IC 233095
0920-0891 WTCHP Designated Representative HIPAA Authorization_10FE
( )
Document [file]
Download:
file
|
pdf
File Type
inode/x-empty
© 2025 OMB.report |
Privacy Policy