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Attachment C - Form CB 496 Instructions March 2020
ICR 202509-0970-002 · OMB 0970-0510 · Object 162480001.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Attachment C - Form CB 496 Instructions March 2020 |
| Subject | Form CB 496 Instructions |
| Author | Department of Health & Human Services |
| File Created | 2025-09-19 |
| Conversion State | partial |