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IHS-810 (4/09) FRONT FORM APPROVED: OMB NO. 0917-0030 Expiration Date: 1/31/2013 See OMB Statement on Reverse. DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service AUTHORIZATION FOR USE OR

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What is ihs form 810 authorization?

The IHS Form 810 Authorization is a document that grants permission for individuals or organizations to access and use Indian Health Service (IHS) data for research or statistical purposes.

Who is required to file ihs form 810 authorization?

Any individual or organization that wishes to access and use IHS data for research or statistical purposes is required to file the IHS Form 810 Authorization.

How to fill out ihs form 810 authorization?

To fill out the IHS Form 810 Authorization, you will need to provide your personal or organizational information, the purpose and scope of the proposed use of the IHS data, and any additional documentation or certifications as requested by the IHS.

What is the purpose of ihs form 810 authorization?

The purpose of the IHS Form 810 Authorization is to ensure that the access and use of IHS data for research or statistical purposes is conducted in a responsible and compliant manner, with appropriate safeguards for privacy and confidentiality.

What information must be reported on ihs form 810 authorization?

The IHS Form 810 Authorization requires the reporting of information such as the name and contact information of the applicant, the purpose and scope of the proposed use of the IHS data, and any additional documentation or certifications as requested by the IHS.

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