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National Medical Support Notice-Part A (State Respondents)
National Medical Support Notice - Part A
OMB: 0970-0222
IC ID: 10060
OMB.report
HHS/ACF
OMB 0970-0222
ICR 202401-0970-001
IC 10060
( )
Documents and Forms
Document Name
Document Type
Form Part A - Revised 2
National Medical Support Notice-Part A (State Respondents)
Form
Form Part A - Revised 2
National Medical Support Notice-Part A (State Respondents)
Form
Part A - Revised 2023 National Medical Support Notice Part A
2023 02 23 NMSN Part A Clean.docx
Form
2023 02 23 NMSN_Part_A_Sample_Form Clean.docx
Instruction
Information Collection (IC) Details
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