Document
Monthly Data Submission Accuracy Certification Form
ICR 201312-0938-011 · OMB 0938-1217 · Object 43875702.
This document may belong to an older filing. More recent activity for OMB 0938-1217:
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is queued and waiting for the next worker pass. (priority 70 · next 2026-09-14 13:24:05)
Missing: html
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Monthly Data Submission Accuracy Certification Form |
| Author | Brenda Hudson |
| File Created | 2021-01-28 |
| Conversion State | partial |