Document
COVID-19 Patient Impact Module Form - State and Local Health Departments
ICR 202008-0920-012 · OMB 0920-1290 · Object 103978501.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | COVID-19 Patient Impact Module Form - State and Local Health Departments |
| Author | Wu, Hsiu (CDC/DDID/NCEZID/DHQP) |
| Last Modified By | Writer |
| File Modified | 2020-05-12 |
| File Created | 2026-07-15 |
| Conversion State | complete |