OMB
.report
Search
0920-0891 HIPAA Authorization for Disclosures Regarding Deceased I
[NIOSH] World Trade Center Health Program Enrollment, Appeals & Reimbursement
App-O-WTCHP-HIPAA-Authorization-for-Deceased-Individuals-updated2024
WTC Health Program HIPAA Authorization for Deceased Individuals
OMB: 0920-0891
OMB.report
HHS/CDC
OMB 0920-0891
ICR 202502-0920-001
IC 251018
0920-0891 HIPAA Authorization for Disclosures Regarding Deceased I
( )
Document [pdf]
Download:
pdf
|
pdf
© 2025 OMB.report |
Privacy Policy