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1 Demographic Form
National Healthy Start Evaluation and Quality Assurance
Attachment 1 - Demographic_Form
Background and Demographic Information Form
OMB: 0915-0338
OMB.report
HHS/HSA
OMB 0915-0338
ICR 202402-0915-003
IC 195559
1 Demographic Form
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0915-0338 can be found here:
2024-12-18 - No material or nonsubstantive change to a currently approved collection
2024-06-20 - No material or nonsubstantive change to a currently approved collection
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