Document

Activity 1 - Eligibility Screening Form

ICR 201607-0923-001 · OMB 0923-0054 · Object 66607301.

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 2026-06-10 00:29:51)

Missing: html

Download: Source copy (docx)

Primary: docxSource: application/vnd.openxmlformats-officedocument.wordprocessingml.document
Loading document viewer…

Document Metadata

Record metadata
application/vnd.openxmlformats-officedocument.wordprocessingml.document
Activity 1 - Eligibility Screening Form
CDC User
2021-01-23
partial