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COVID-19 Healthcare Worker Form - State and Local Health Department
ICR 202007-0920-005 · OMB 0920-1290 · Object 102449701.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | COVID-19 Healthcare Worker Form - State and Local Health Department |
| Author | Wattenmaker, Lauren (CDC/DDID/NCEZID/DHQP) |
| File Created | 2021-01-13 |
| Conversion State | partial |