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Sample Autopsy Report
Attachment 21.docx
National Coal Workers' Health Surveillance Program (CWHSP)
Sample Autopsy Report
OMB: 0920-0020
OMB.report
HHS/CDC
OMB 0920-0020
ICR 202104-0920-005
IC 197448
Sample Autopsy Report
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0020 can be found here:
2022-02-07 - Revision of a currently approved collection
2021-09-09 - Extension without change of a currently approved collection
Document [docx]
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Attachment 21 –
42 CFR 37.203 Pathologist Report of Autopsy – Sample
File Type
application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author
CDC User
File Modified
0000-00-00
File Created
2021-04-23
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