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Nolo Contendere (no contest) plea
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: 206490
OMB.report
HHS/HSA
OMB 0915-0126
ICR 202310-0915-003
IC 206490
( )
Documents and Forms
Document Name
Document Type
Form 11
Nolo Contendere (no contest) plea
Form and Instruction
11 Nolo Contendere (no contest plea).pdf
Nolo Contendere (no contest plea).pdf
Form and Instruction
Information Collection (IC) Details
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