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Medical Reports
Medical Reports
OMB: 3220-0038
IC ID: 185885
OMB.report
RRB
OMB 3220-0038
ICR 202312-3220-002
IC 185885
( )
Documents and Forms
Document Name
Document Type
Form RL-11D
Medical Reports
Form and Instruction
RL-11D Disclosure of Medical Records from a State Agency
Form RL-11D (01-21).pdf
Form and Instruction
Information Collection (IC) Details
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