Document
Practitioner Reporting Form - 8.635
ICR 201911-0930-001 · OMB 0930-0234 · Object 96760501.
This document may belong to an older filing. More recent activity for OMB 0930-0234:
Document Viewer [doc]
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 2026-06-21 12:58:09)
Missing: html
Download: Source copy (doc)
Loading document viewer…
Document Metadata
| File Type | application/msword |
|---|---|
| File Title | Practitioner Reporting Form - 8.635 |
| Author | Windows User |
| Last Modified By | SYSTEM |
| File Modified | 2019-11-26 |
| File Created | 2019-11-26 |
| Conversion State | partial |