Document
Attachment B - Medical Assessment Form Instructional Letter for Medical Providers
ICR 202410-0970-004 · OMB 0970-0466 · Object 147308401.
This document may belong to an older filing. More recent activity for OMB 0970-0466:
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is in progress, but the document is still incomplete and remains in the worker queue. (priority 70 · next 2026-04-26 20:31:41)
Missing: html
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Attachment B - Medical Assessment Form Instructional Letter for Medical Providers |
| Author | Kirsten Buckley |
| File Created | 2024-10-26 |
| Conversion State | partial |