OMB control number

Ihs Request For Report Of Immunizations Administered

OMB 0917-0003 · HHS/IHS.

OMB 0917-0003

Latest Forms, Documents, and Supporting Material

Document Name
IHS REQUEST FOR REPORT OF IMMUNIZATIONS ADMINISTERED Form

All Historical Document Collections

199004-0917-001 Approved without change	Extension without change of a currently approved collection	1990-04-09
198905-0917-003 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-05-06
198803-0917-003 Approved without change	Extension without change of a currently approved collection	1988-03-29