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Form 0920-0128 Congenital Syphilis (CS) Case Investigation and Report F
Congenital Syphilis Case Investigation and Report Form
0920-0128_Attachment3b CSform2
Congenital Syphilis (CS) Case Investigation and Report Form: Local Health Department
OMB: 0920-0128
OMB.report
HHS/CDC
OMB 0920-0128
ICR 201002-0920-007
IC 6642
Form 0920-0128 Congenital Syphilis (CS) Case Investigation and Report F
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0128 can be found here:
2012-12-10 - Revision of a currently approved collection
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pdf
File Type
application/pdf
File Title
CDC73.126 FINAL Cong Syph
Author
maw2
File Modified
2007-04-25
File Created
2006-12-01
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