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Form 1 Attachment A_Individualized Targeted TA Check in
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
Attachment A_Individualized Targeted TA Check in
Maternal, Infant, and Early Childhood Home Visiting Program Technical Assistance Resource Center (TARC) Satisfaction Surveys
OMB: 0915-0212
OMB.report
HHS/HSA
OMB 0915-0212
ICR 202401-0915-001
IC 247043
Form 1 Attachment A_Individualized Targeted TA Check in
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0915-0212 can be found here:
2024-01-10 - Revision of a currently approved collection
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