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Form Part A - Revised 2 Part A - Revised 2 National Medical Support Notice Part A
National Medical Support Notice - Part A
2023 02 23 NMSN Part A Clean
National Medical Support Notice-Part A (Employer Respondents)
OMB: 0970-0222
OMB.report
HHS/ACF
OMB 0970-0222
ICR 202401-0970-001
IC 236881
Form Part A - Revised 2 Part A - Revised 2 National Medical Support Notice Part A
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0970-0222 can be found here:
2025-05-28 - No material or nonsubstantive change to a currently approved collection
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