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Medical Review Officer
Mandatory Guidelines for Federal Workplace Drug Testing Programs
Same as Donor Form
Medical Review Officer
OMB: 0930-0158
OMB.report
HHS/SAMHSA
OMB 0930-0158
ICR 202006-0930-004
IC 193835
Medical Review Officer
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0930-0158 can be found here:
2023-03-22 - Extension without change of a currently approved collection
2021-11-16 - No material or nonsubstantive change to a currently approved collection
Document [docx]
Download:
docx
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pdf
Same as Donor Form – Attachment C - Federal CCF
File Type
application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author
Windows User
File Modified
0000-00-00
File Created
2021-01-13
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