Information Collection Request

Coverage of Certain Preventive Services Under the Affordable Care Act (REG-120391-10 (NPRM))

ICR 201302-1545-007 · OMB 1545-2243 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Supporting Statement.docx Supporting Statement A Uploaded 2013-02-08 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
205716 Certification Statement Other-Certification Statement New

ICR Details

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  Inventory as of this Action Requested Previously Approved
36 Months From Approved
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IC Title Form No. Form Name
Certification Statement



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