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Applicant Evaluation Health Record Administration Training

IC 110042 under ICR 197709-0915-001 · OMB 0915-0005.

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APPLICANT EVALUATION HEALTH RECORD ADMINISTRATION TRAINING
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HSA-271 No No


    

200 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 200 0 0 200 0 0
Annual IC Time Burden (Hours) 17 0 0 17 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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