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Att 3e_Initial Outbreak Report Form
[NCCHSTP] Integrated Viral Hepatitis Surveillance and Prevention Funding for Health Departments
OMB: 0920-1353
IC ID: 248661
OMB.report
HHS/CDC
OMB 0920-1353
ICR 202403-0920-014
IC 248661
( )
Documents and Forms
Document Name
Document Type
Form 0920-1353
Att 3e_Initial Outbreak Report Form
Form and Instruction
0920-1353 Initial Outbreak Report Form
Att 3e_Outbreak Summary Report_5-18-2021_rev.docx
Form and Instruction
Information Collection (IC) Details
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