OMB
.report
Search
State Licensure
National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners: 45 CFR Part 60 Regulations and Forms
OMB: 0915-0126
IC ID: 206482
OMB.report
HHS/HSA
OMB 0915-0126
ICR 202310-0915-003
IC 206482
( )
Documents and Forms
Document Name
Document Type
Form 3
State Licensure
Form and Instruction
3 State Licensure or Certification.pdf
State Licensure or Certification.pdf
Form and Instruction
Information Collection (IC) Details
© 2024 OMB.report |
Privacy Policy