Document
Electronic Funds Transfer (EFT) Authorization
ICR 202310-0915-003 · OMB 0915-0126 · Object 136684301.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Electronic Funds Transfer (EFT) Authorization |
| Author | Health Resources and Services Administration |
| File Modified | 2023-05-31 |
| File Created | 2023-01-18 |
| Conversion State | complete |