Attachment 27
Pathologist Invoice (Mock Form)
Form Approved
OMB NO: 0920-0020
Exp. Date: xx/xx/20xx
Pathologist Invoice
Public reporting burden of this collection of information is estimated at 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/Information Collection Review Office, 1600 Clifton Road, NE, MS D-74, Atlanta, GA 30333; Attn: PRA (0920-0020).
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Marsh, Carol E. (CDC/OPHPR/OD) |
| File Modified | 0000-00-00 |
| File Created | 2021-09-10 |