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Form 3 Provider Relief Fund (PRF) Questioned Cost Attestation F
COVID–19 Provider Relief Programs Single and Commercial Audits and Delinquent Audit Reporting Submission Activities
Questioned Cost Attestation Form_V2
Provider Relief Fund (PRF) Questioned Cost Attestation Form
OMB: 0906-0083
OMB.report
HHS/HRSA
OMB 0906-0083
ICR 202312-0906-003
IC 264092
Form 3 Provider Relief Fund (PRF) Questioned Cost Attestation F
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0906-0083 can be found here:
2024-03-21 - No material or nonsubstantive change to a currently approved collection
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