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Section 3012 Health Information Technology Extension Program: Full Application
OMB 0990-0343
OMB.report
HHS/HHSDM
OMB 0990-0343
OMB 0990-0343
Latest Forms, Documents, and Supporting Material
Document
Name
Form 1 Full Application Required Data Elements
Form and Instruction
3012 PRA Full Application 8.26.2009.doc
Supporting Statement A
Full Application Required Data Elements
Form and Instruction
All Historical Document Collections
200908-0990-006
Approved without change
New collection (Request for a new OMB Control Number)
2009-08-26
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