Document
Practice Managers Form A Screener Administered on Paper
ICR 201312-0955-001 · OMB 0955-0015 · Object 44016501.
This document may belong to an older filing. More recent activity for OMB 0955-0015:
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is in progress, but the document is still incomplete and remains in the worker queue. (priority 70 · next 2026-07-11 02:04:00)
Missing: html
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Practice Managers Form A Screener Administered on Paper |
| Author | Roger Feltman |
| File Created | 2021-01-28 |
| Conversion State | partial |