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Request for and Authorization to Release Medical Records or Health Information, etc
OMB 2900-0260
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OMB 2900-0260
OMB 2900-0260
Latest Forms, Documents, and Supporting Material
Document
Name
Form 10-5345a Request for and Authorization to Release Medical Records or Health Information, etc
Form
2900-0260 sub. change (2).docx
Justification for No Material/Nonsubstantive Change
2900-0260_justification (v6.1).docx
Supporting Statement A
Request for and Authorization to Release Medical Records or Health Information, etc
Form
All Historical Document Collections
201407-2900-009
Approved without change
No material or nonsubstantive change to a currently approved collection
2014-10-02
201206-2900-012
Approved without change
Revision of a currently approved collection
2012-10-25
200907-2900-006
Approved without change
Revision of a currently approved collection
2009-11-25
200708-2900-014
Approved with change
Extension without change of a currently approved collection
2007-12-04
200512-2900-006
Approved with change
Revision of a currently approved collection
2005-12-22
200409-2900-005
Approved without change
Extension without change of a currently approved collection
2004-09-02
200108-2900-006
Approved without change
Extension without change of a currently approved collection
2001-08-10
199803-2900-005
Approved without change
Reinstatement without change of a previously approved collection
1998-03-18
199212-2900-002
Approved without change
Reinstatement with change of a previously approved collection
1992-12-02
198904-2900-064
Approved with change
No material or nonsubstantive change to a currently approved collection
1989-04-28
198904-2900-041
Approved with change
No material or nonsubstantive change to a currently approved collection
1989-04-07
198805-2900-011
Approved with change
No material or nonsubstantive change to a currently approved collection
1988-05-12
198801-2900-003
Approved without change
Reinstatement with change of a previously approved collection
1988-01-13
198409-2900-012
Approved without change
Reinstatement with change of a previously approved collection
1984-09-20
198110-2900-008
Approved without change
Revision of a currently approved collection
1981-10-15
198011-2900-101
Approved with change
No material or nonsubstantive change to a currently approved collection
1980-11-14
197712-2900-003
Approved without change
New collection (Request for a new OMB Control Number)
1977-12-02
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