OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Complaint Forms for Discrimination; Health Information Privacy Complaints

OMB 0990-0269 · HHS/HHSDM.

OMB 0990-0269
Latest Forms, Documents, and Supporting Material
Document
Name
Supplementary Document
Supporting Statement A
All Historical Document Collections
Approved with change
 Extension without change of a currently approved collection 2012-09-28
Approved without change
 Extension without change of a currently approved collection 2009-07-31
Approved without change
 No material or nonsubstantive change to a currently approved collection 2008-03-28
Approved with change
 Extension without change of a currently approved collection 2006-04-13
Approved without change
 New collection (Request for a new OMB Control Number) 2003-03-07