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State Licensing Board Data Request
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: 206506
OMB.report
HHS/HSA
OMB 0915-0126
ICR 202310-0915-003
IC 206506
( )
Documents and Forms
Document Name
Document Type
Form 27
State Licensing Board Data Request
Form and Instruction
27 State Licensing Board Data Request.pdf
State Licensing Board Data Request.pdf
Form and Instruction
Information Collection (IC) Details
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