OMB control number
Health Insurance Study, Medical History, Form A
OMB 0990-0005 ยท HHS/HHSDM.
OMB 0990-0005
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 HEALTH INSURANCE STUDY, MEDICAL HISTORY, FORM A |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 197508-0990-001 | Revision of a currently approved collection | 1975-08-27 | Approved without change |