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OMB Number: 290090260 Estimated burden: 2 Minutes Expiration Date: 10/31/3003REQUEST FOR AND AUTHORIZATION TO RELEASE OF MEDICAL RECORDS OR HEALTH INFORMATIONDepartment of Veterans Affairs Paperwork
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OMB number 290090260 is used by the Office of Management and Budget (OMB) to collect information related to a specific program or activity.
The entities or individuals designated by the OMB for the specific program or activity are required to file OMB number 290090260.
OMB number 290090260 can be filled out by following the instructions provided by the OMB for the specific program or activity.
The purpose of OMB number 290090260 is to collect specific information to assist the OMB in assessing the effectiveness and efficiency of the program or activity.
The information required to be reported on OMB number 290090260 varies depending on the specific program or activity, and will be outlined in the instructions provided.
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