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2E Attachment 2E Patient Screening Short Blessed Scale (Eng
Questionnaire and Data Collection Testing, Evaluation, and Research for the Health Resources and Services Administration (HRSA)
Attachment 9 Patient Screening Short Blessed Scale (English)
Pre-testing for 2019 Health Center Patient Survey (HCPS)
OMB: 0915-0379
OMB.report
HHS/HSA
OMB 0915-0379
ICR 201704-0915-001
IC 236661
2E Attachment 2E Patient Screening Short Blessed Scale (Eng
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0915-0379 can be found here:
2023-06-29 - Revision of a currently approved collection
2020-05-15 - Extension without change of a currently approved collection
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Short Blessed Scale Exam
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derecho
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0000-00-00
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2021-01-15
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