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Form 0920-0879 PHICCS Instrument - Web Version
Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery
Attachment C - PHICCS Instrument (Web version)
Public Health in Indian Country Capacity Scan Assessment (PHICCS)
OMB: 0920-0879
OMB.report
HHS/CDC
OMB 0920-0879
ICR 201711-0920-012
IC 232932
Form 0920-0879 PHICCS Instrument - Web Version
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0879 can be found here:
2024-10-16 - No material or nonsubstantive change to a currently approved collection
2023-06-30 - Extension without change of a currently approved collection
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Attachment C – PHICCS Instrument (Web Version)
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application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author
Stephen Valliere
File Modified
0000-00-00
File Created
2021-01-20
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