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Medical Assessment Form - Recordkeeping Time (completed by a medical professional)
ICR 202312-0970-002 · OMB 0970-0466 · Object 137795001.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Medical Assessment Form - Recordkeeping Time (completed by a medical professional) |
| Author | Buckley, Kirsten (CDC/OID/NCEZID) |
| File Created | 2023-12-12 |
| Conversion State | partial |