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Attachment G_PSO Profile Form
Patient Safety Organization Certification for Initial Listing and Related Forms, Patient Safety Confidentiality Complaint Form, and Common Formats
OMB: 0935-0143
IC ID: 186803
OMB.report
HHS/AHRQ
OMB 0935-0143
ICR 202410-0935-002
IC 186803
( )
Documents and Forms
Document Name
Document Type
Form Form 5
Attachment G_PSO Profile Form
Form and Instruction
Form 5 PSO Profile Form
Attachment G_DRAFT_PSO Profile Form.docx
Form and Instruction
Information Collection (IC) Details
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