OMB.report

Federal forms, ICRs, and supporting documents

Document

Eligibility Screener (Spanish) MAY2026

ICR 202605-0920-010 · OMB 0920-0770 · Object 169143002.

Document Viewer [docx]

Status: Original and derived artifacts are available for this document.

Download: docx | pdf | html

Primary: docxSource: application/octet-stream
Loading document viewer…
Document Metadata
File Typeapplication/octet-stream
File TitleEligibility Screener (Spanish) MAY2026
AuthorCDC User
Last Modified ByWriter
File Modified2026-05-28
File Created2026-06-04
Conversion Statecomplete