Document
Consent for Sterilization: Form HHS-687
ICR 202204-0937-001 · OMB 0937-0166 · Object 120811301.
This document may belong to an older filing. More recent activity for OMB 0937-0166:
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is in progress, but the document is still incomplete and remains in the worker queue. (priority 70 · next 2026-04-16 11:50:13)
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Consent for Sterilization: Form HHS-687 |
| Subject | This form allows an individual to provide consent for sterilization. Statements are also included for an interpreter, a person o |
| Author | U.S. Department of Health & Human Services |
| File Created | 2022-07-29 |
| Conversion State | partial |