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Provider Survey Screenshots
Monitoring Changes in Attitudes and Practices among Family Planning Providers and Clinics
Phase II Provider Web Survey Screen Shots_Revised 2012-12-18
Survey of Title X Clinic Providers
OMB: 0920-0969
OMB.report
HHS/CDC
OMB 0920-0969
ICR 201303-0920-005
IC 203901
Provider Survey Screenshots
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0969 can be found here:
2018-11-01 - Reinstatement with change of a previously approved collection
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File Modified
2012-12-18
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2012-12-18
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