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1 Health Insurance and Access to Health Care
Immediate Disaster Case Management Intake Assessment
Health Insurance and Access to Health Care
IDCM Intake Assessment
OMB: 0970-0461
OMB.report
HHS/ACF
OMB 0970-0461
ICR 201709-0970-005
IC 216998
1 Health Insurance and Access to Health Care
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0970-0461 can be found here:
2020-05-27 - Extension without change of a currently approved collection
2019-02-05 - No material or nonsubstantive change to a currently approved collection
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2017-09-12
File Created
2017-09-12
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