OMB
.report
Search
Screen shots of Web interface for electronic reporting o
World Trade Center Health Program Enrollment, Appeals & Reimbursement
App L Web Screen Shots
OMB: 0920-0891
OMB.report
HHS/CDC
OMB 0920-0891
ICR 202201-0920-002
IC 214323
Screen shots of Web interface for electronic reporting o
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0891 can be found here:
2024-09-11 - Revision of a currently approved collection
2024-02-13 - No material or nonsubstantive change to a currently approved collection
Document [docx]
Download:
docx
|
pdf
Appendix L
Web Based Application Screen Shots (samples)
File Type
application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author
Breyer, Laurie I. (CDC/NIOSH/EID)
File Modified
0000-00-00
File Created
2023-08-28
© 2024 OMB.report |
Privacy Policy