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IHS Form 913, Request for an Accounting of Disclosures
ICR 201301-0917-002 · OMB 0917-0030 · Object 37336301.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | IHS Form 913, Request for an Accounting of Disclosures |
| Subject | OMB Approved HIPAA Public Use Forms |
| Author | IHS |
| File Modified | 2012-09-10 |
| File Created | 2010-02-04 |
| Conversion State | failed_conversion |