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Inpatient Psychiatric Facility Quality Reporting Program Vendor Authorization Form

ICR 201305-0938-022 · OMB 0938-1171 · Object 39939501.

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Document Metadata
File Typeapplication/octet-stream
File TitleInpatient Psychiatric Facility Quality Reporting Program Vendor Authorization Form
SubjectInpatient Psychiatric Facility Quality Reporting Program Vendor Authorization Form
AuthorCMS
File Modified2013-05-13
File Created2013-02-06
Conversion Statecomplete