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Entity Registration

ICR 200705-0915-002 · OMB 0915-0126 · Object 2865001.

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Document Metadata

Record metadata
File Type	application/msword
File Title	Entity Registration
Author	HRSA
Last Modified By	Writer
File Modified	2007-05-07
File Created	2026-08-12
Conversion State	failed_conversion

Extracted Text

Entity Registration












Agent Registration






Entity Registration Update










Agent Registration Update







Entity Registration Renewal









Agent Registration Renewal








Initial AAR




















Correction AAR


















Correction Legacy AAR












Revision to Action AAR

















Explicit Query














Subject Database (individual)













Subject Database (organization)






Self Query (individual)














Self Query Organization











Subject Dispute






Secretarial Review







Authorized Agent Designation





Authorized Agent Designation (update)




Electronic Fund Transfer Authorization



Account Discrepancy Form


Initial Accreditation








Accreditation Correction








Accreditation Revision







QIO Initial










QIO Correction










QIO Revision to Action