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DENTIST'S CLAIM FORM Check One: 1. Patient name Dentist's pre-treatment estimate Dentist's statement of actual services UNITED CONCORDIA TDP OCO NUS Dental Unit P.O. Box 69418 Harrisburg, PA 17106-9418
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OMB 0720 0035 is a form used by the Office of Management and Budget (OMB) to collect information from federal agencies for the purpose of evaluating and improving the effectiveness of federal programs and activities.
Federal agencies are required to file OMB 0720 0035. It is their responsibility to provide the requested information to OMB in a timely manner.
To fill out OMB 0720 0035, federal agencies must follow the instructions provided by OMB. These instructions typically include guidelines on how to gather and report the required information accurately and efficiently.
The purpose of OMB 0720 0035 is to assess and improve the performance, effectiveness, and efficiency of federal programs and activities. The data collected through this form helps OMB evaluate the impact of these programs and make informed decisions regarding their funding and management.
The specific information required to be reported on OMB 0720 0035 varies depending on the evaluation being conducted. However, it typically includes data on program goals, outcomes, performance measures, and financial aspects of federal programs and activities.
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