OMB control number

Request For Report Of Immunizations Administered

OMB 0915-0030 · HHS/HSA.

OMB 0915-0030

Latest Forms, Documents, and Supporting Material

Document Name
REQUEST FOR REPORT OF IMMUNIZATIONS ADMINISTERED Form

All Historical Document Collections

198704-0915-002 Approved without change	Extension without change of a currently approved collection	1987-04-23
198405-0915-001 Approved without change	Extension without change of a currently approved collection	1984-05-18
198203-0915-001 Approved without change	New collection (Request for a new OMB Control Number)	1982-03-24