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OMB Approved No. 29000776 Respondent Burden: 30 minutesHEART CONDITIONS (INCLUDING ISCHEMIC AND ISCHEMIC HEART DISEASE, ARRHYTHMIAS, VALVULAR DISEASE AND CARDIAC SURGERY) DISABILITY BENEFITS QUESTIONNAIRE
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Heart conditions including ischemic refer to a type of heart disease affecting the blood flow to the heart muscle.
Individuals with heart conditions including ischemic are required to file the form.
To fill out the form, individuals must provide information about their heart condition and any related medical history.
The purpose of the form is to gather information on heart conditions including ischemic for medical and statistical analysis.
Information such as diagnosis, treatment, and risk factors related to heart conditions including ischemic must be reported.
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