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Child assent
Per- or Polyfluoroalkyl Substances Exposure Assessments (PFAS EAs)
PrtApndxB4_Assent Form for Minors_20200205 clean
Child Assent
OMB: 0923-0059
OMB.report
HHS/TSDR
OMB 0923-0059
ICR 202006-0923-001
IC 233857
Child assent
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0923-0059 can be found here:
2022-06-17 - Revision of a currently approved collection
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application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author
Scruton, Karen M. (ATSDR/DCHI/SSB)
File Modified
0000-00-00
File Created
2021-01-13
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