Information Collection
Physician's/medical Officer's Statement (patient's Capability To Manage Benefits)
IC 114297 under ICR 199111-0960-002 · OMB 0960-0024.
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0024 can be found here:
Documents and Forms
| Document Name | Document Type |
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Information Collection (IC) Details
| IC Title | PHYSICIAN'S/MEDICAL OFFICER'S STATEMENT (PATIENT'S CAPABILITY TO MANAGE BENEFITS) |
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