Purchase Query Credits Form and Instruction
State Changes
Label
PDF Name
Item Type
Trigger
OMB Number:
0915-0126
Expiration Date:
mm/dd/yyyy
Purchase
Query
Credits
Modal
When the user selects the link the
modal is displayed with the public
burden statement content.
| File Type | application/pdf |
| File Title | Purchase Query Credits |
| Subject | NPDB billing forms |
| Author | Health Resources and Services Administration |
| File Modified | 2023-05-22 |
| File Created | 2023-01-18 |