Document
Att 3b - Previous form
ICR 201212-0920-005 · OMB 0920-0128 · Object 36632201.
Document Viewer [doc]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is queued and waiting for the next worker pass. (priority 140 · next 2026-07-02 02:15:04)
Missing: html
Download: Source copy (doc)
Loading document viewer…
Document Metadata
| File Type | application/msword |
|---|---|
| File Title | Att 3b - Previous form |
| Author | gks7 |
| Last Modified By | Bonds, Constance (CDC/OID/NCHHSTP) |
| File Modified | 2012-10-09 |
| File Created | 2012-10-09 |
| Conversion State | partial |