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OMB Number: 290090260 Estimated burden: 2 Minutes Expiration Date: 10/31/3003 REQUEST FOR AND AUTHORIZATION TO RELEASE OF MEDICAL RECORDS OR HEALTH INFORMATION Department of Veterans Affairs The Paperwork
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The OMB number 290090260 is assigned to a specific form or information collection by the Office of Management and Budget.
The specific individuals or entities required to file OMB number 290090260 will depend on the form or information collection associated with it.
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The purpose of OMB number 290090260 will vary depending on the specific form or information collection it is associated with.
The specific information required to be reported on OMB number 290090260 will be outlined in the instructions provided by the agency.
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