This survey is authorized under 42 U.S.C. 299a. The confidentiality of your responses to this survey is protected by Sections 944(c) and 308(d) of the Public Health Service Act [42 U.S.C. 299c-3(c) and 42 U.S.C. 242m(d)]. Information that could identify you will not be disclosed unless you have consented to that disclosure.
| File Type | application/pdf |
| Author | Teresa Dodson |
| File Modified | 2019-10-25 |
| File Created | 2019-10-25 |