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Dental Assessment Form - Reporting Time
Medical Assessment Form and Dental Assessment Form
OMB: 0970-0466
IC ID: 217789
OMB.report
HHS/ACF
OMB 0970-0466
ICR 202312-0970-002
IC 217789
( )
Documents and Forms
Document Name
Document Type
Form 1
Dental Assessment Form - Reporting Time
Form
Form 1
Dental Assessment Form - Reporting Time
Form
1 Dental Assessment Form
ORR Dental Assessment Form.docx
Form
Attachment C_Dental Assessment Form Instructional Letter for Dental Providers.docx
Attachment C - Dental Assessment Form Instructional Letter for Dental Providers
IC Document
Information Collection (IC) Details
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