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Attachment B - Mental Health Assessment Form Instructional Letter for Mental Health Providers
Attachment B_Mental Health Assessment Form Instructional Letter for Mental Health Providers.docx
Mental Health Assessment Form, Public Health Investigation Form: Active TB, and Public Health Investigation Form: Non-TB Illness
Attachment B - Mental Health Assessment Form Instructional Letter for Mental Health Providers
OMB: 0970-0509
OMB.report
HHS/ACF
OMB 0970-0509
ICR 202312-0970-003
IC 229902
Attachment B - Mental Health Assessment Form Instructional Letter for Mental Health Providers
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⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0970-0509 can be found here:
2024-10-07 - No material or nonsubstantive change to a currently approved collection
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