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Uncompensated Services Assurance Report
OMB 0915-0077
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HHS/HSA
OMB 0915-0077
OMB 0915-0077
Latest Forms, Documents, and Supporting Material
Document
Name
Form 710 Uncompensated Services Assurance Report
Form and Instruction
CurrentRegulations-0077.pdf
Supplementary Document
AuthorizingLegislation-0077.pdf
Supplementary Document
FINAL SupportingStatement A - CORRECTED AND REVISED.doc
Supporting Statement A
Uncompensated Services Assurance Report
Form and Instruction
All Historical Document Collections
201206-0915-005
Approved with change
Extension without change of a currently approved collection
2012-06-25
201205-0915-001
Withdrawn and continue
Revision of a currently approved collection
2012-05-02
200904-0915-001
Approved without change
Extension without change of a currently approved collection
2009-04-14
200602-0915-002
Approved without change
Extension without change of a currently approved collection
2006-02-16
200212-0915-002
Approved without change
Extension without change of a currently approved collection
2002-12-19
199911-0915-002
Approved without change
Extension without change of a currently approved collection
1999-11-12
199611-0915-002
Approved without change
Revision of a currently approved collection
1996-11-12
199310-0915-001
Approved without change
Revision of a currently approved collection
1993-10-19
199106-0915-004
Approved with change
No material or nonsubstantive change to a currently approved collection
1991-06-19
199010-0915-002
Approved without change
Revision of a currently approved collection
1990-10-24
198711-0915-001
Approved without change
Revision of a currently approved collection
1987-11-05
198708-0915-003
Approved without change
Revision of a currently approved collection
1987-08-06
198612-0915-001
Approved without change
Revision of a currently approved collection
1986-12-09
198509-0915-001
Approved without change
Reinstatement with change of a previously approved collection
1985-09-03
198309-0915-006
Approved without change
New collection (Request for a new OMB Control Number)
1983-09-27
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