Dentist

OS Think Cultural Health

OMB: 0990-0407

IC ID: 205345

Documents and Forms
Document Name
Document Type
Other-instrument
Information Collection (IC) Details

View Information Collection (IC)

Dentist
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-instrument 0990-OS think__Please refer back to Physicians for the forms.docx No No Paper Only

Health Illness Prevention

 

377 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 0 0 -377 0 0 377
Annual IC Time Burden (Hours) 0 0 -19 0 0 19
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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