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Employee - HHE Specific Medical Survey Informed Consent
[NIOSH] Health Hazard Evaluations/Technical Assistance and Emerging Problems
OMB: 0920-0260
IC ID: 185720
OMB.report
HHS/CDC
OMB 0920-0260
ICR 202311-0920-010
IC 185720
( )
Documents and Forms
Document Name
Document Type
Form 0920-0260
Employee - HHE Specific Medical Survey Informed Consent
Form and Instruction
0920-0260 HHE Specific Medical Survey Informed Consent Form
Attachment E Medical Survey Informed Consent Example.docx
Form and Instruction
Information Collection (IC) Details
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