1 Online Application Order Form

Online Application Order Form for Products from the Healthcare Cost and Utilization Project (HCUP)

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0935-0206 can be found here:

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OMB Control No. 0935-xxxx expires 01/31/20xx.

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File Modified	0000-00-00
File Created	0000-00-00