Document
Changes to forms
ICR 200808-0920-010 · OMB 0920-0802 · Object 8378101.
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Document Metadata
| File Type | application/msword |
|---|---|
| File Title | Changes to forms |
| Author | csi7 |
| Last Modified By | Writer |
| File Modified | 2008-07-11 |
| File Created | 2026-10-30 |
| Conversion State | complete |
Extracted Text
Attachment 12
Changes to ABCs case report form for 2008
1. Question 23b was added
Were records obtained to verify vaccination history (<5 years of age only)?
Yes No
If yes, what was the source of the information? (check all that apply)
Vaccine Registry Healthcare Provider Other (specify) ______