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Attachment G: Facility Screener Questionnaire
ICR 200911-0920-003 · OMB 0920-0780 · Object 14372801.
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Document Metadata
| File Type | application/msword |
|---|---|
| File Title | Attachment G: Facility Screener Questionnaire |
| Author | Christine Caffrey |
| Last Modified By | Christine Caffrey |
| File Modified | 2009-08-26 |
| File Created | 2009-08-26 |
| Conversion State | partial |