Document
01292024 Authorization to Release Information Form
ICR 202311-0915-001 · OMB 0915-0150 · Object 137373303.
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is in progress, but the document is still incomplete and remains in the worker queue. (priority 70 · next 2026-04-23 08:36:59)
Missing: html
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | 01292024 Authorization to Release Information Form |
| Author | HRSA |
| File Created | 2024-07-20 |
| Conversion State | partial |