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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 Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAttachment C - Form CB 496 Instructions March 2020
SubjectForm CB 496 Instructions
AuthorDepartment of Health & Human Services
File Created2025-09-19
Conversion Statepartial