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Application for Federally Supported Health Centers Assistance Act (FSHCAA) / Federal Tort Claims Act (FTCA) Particularized Determination of Coverage
OMB 0906-0077
OMB.report
HHS/HRSA
OMB 0906-0077
OMB 0906-0077
Latest Forms, Documents, and Supporting Material
Document
Name
Form 1 FTCA Particularized Determination Application
Form and Instruction
Particularized Determination Application Supporting Statement BPHC REV 1.docx
Supporting Statement A
FTCA Particularized Determination Application
Form and Instruction
All Historical Document Collections
202307-0906-001
Approved without change
New collection (Request for a new OMB Control Number)
2023-07-14
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