Document
Health Assessment Form_0509_Updated 05092022
ICR 202205-0970-004 · OMB 0970-0509 · Object 121209901.
This document may belong to an older filing. More recent activity for OMB 0970-0509:
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is queued and waiting for the next worker pass. (priority 140 · next 2026-07-11 07:45:06)
Missing: html
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Health Assessment Form_0509_Updated 05092022 |
| Author | Buckley, Kirsten (CDC/OID/NCEZID) |
| File Created | 2022-05-23 |
| Conversion State | partial |