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Attachment 3A Patient Questionnaire
Form Approved
OMB No: 09200840
OMB Exp. Date: 01/30/2019Attachment 3A:
Patient Questionnaire CDC estimates the average public reporting burden for this collection
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What is form approved 52 omb?
Form approved 52 omb is a document approved by the Office of Management and Budget (OMB) for specific use by certain entities.
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Entities specified by the OMB are required to file form approved 52 omb.
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Form approved 52 omb must be filled out according to the instructions provided by the OMB.
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The purpose of form approved 52 omb is to collect specific information from the entities mandated by the OMB.
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Form approved 52 omb requires the reporting of specific data as outlined by the OMB.
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