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Data Use Agreement and Supplement for 2014 Health Center Patient Survey
OMB 0906-0027
OMB.report
HHS/HRSA
OMB 0906-0027
OMB 0906-0027
Latest Forms, Documents, and Supporting Material
Document
Name
Form 1 Data Use Agreement and Supplement for 2014 Health Center Patient Survey
Form and Instruction
DUA Supporting Statement A PASSBACK CLEAN 1-25-17.docx
Supporting Statement A
Data Use Agreement and Supplement for 2014 Health Center Patient Survey
Form and Instruction
All Historical Document Collections
201610-0906-001
Approved with change
New collection (Request for a new OMB Control Number)
2016-10-24
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