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Serious Medical Procedure (SMR) Request Form
OMB 0970-0561
OMB.report
HHS/ACF
OMB 0970-0561
OMB 0970-0561
Latest Forms, Documents, and Supporting Material
Document
Name
Form 1 Serious Medical Procedure (SMR) Form - Care provider program staff
Form
Form 1 Serious Medical Procedure (SMR) Form - Pediatric surgeons
Form
Attachment A_Flores Agreement.docx
Supplementary Document
Supporting Statement A_SMR Form_cln_KB.docx
Supporting Statement A
Serious Medical Procedure (SMR) Form - Care provider program staff
Form
Serious Medical Procedure (SMR) Form - Pediatric surgeons
Form
All Historical Document Collections
202311-0970-006
Revision of a currently approved collection
2023-11-17
202011-0970-010
Approved without change
New collection (Request for a new OMB Control Number)
2020-11-30
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