Document
Attachment B - Medical Assessment Form Instructional Letter for Medical Providers
ICR 202312-0970-002 · OMB 0970-0466 · Object 137795401.
This document may belong to an older filing. More recent activity for OMB 0970-0466:
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is queued and waiting for the next worker pass. (priority 140 · next 2026-06-29 09:14:26)
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Attachment B - Medical Assessment Form Instructional Letter for Medical Providers |
| Author | Kirsten Buckley |
| File Created | 2023-12-12 |
| Conversion State | partial |