Document
Form 5A: Services Provided
ICR 202505-0915-002 · OMB 0915-0285 · Object 157868401.
This document may belong to an older filing. More recent activity for OMB 0915-0285:
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is queued and waiting for the next worker pass. (priority 140 · next 2026-06-02 11:31:17)
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Form 5A: Services Provided |
| Subject | Form 5A: Services Provided |
| Author | HRSA |
| File Created | 2025-06-19 |
| Conversion State | partial |