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Attachment J_PSO Voluntary Relinquishment Form
Patient Safety Organization Certification for Initial Listing and Related Forms, Patient Safety Confidentiality Complaint Form, and Common Formats
OMB: 0935-0143
IC ID: 231738
OMB.report
HHS/AHRQ
OMB 0935-0143
ICR 202410-0935-002
IC 231738
( )
Documents and Forms
Document Name
Document Type
Form Form 7
Attachment J_PSO Voluntary Relinquishment Form
Form and Instruction
Form 7 PSO Request for Voluntary Relinquishment
Attachment J_DRAFT_PSO Voluntary Relinquishment.docx
Form and Instruction
Information Collection (IC) Details
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