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DIR Review Assessment Survey form 1 - screenshot Reviewer instructions 3-8-2021
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
DIR Review Assessment Survey form 1 - screenshot Reviewer instructions 3-8-2021
OMB: 0915-0212
OMB.report
HHS/HSA
OMB 0915-0212
ICR 202308-0915-005
IC 247769
DIR Review Assessment Survey form 1 - screenshot Reviewer instructions 3-8-2021
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0915-0212 can be found here:
2024-01-10 - Revision of a currently approved collection
2024-01-04 - No material or nonsubstantive change to a currently approved collection
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2021-06-04
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