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OMB Control #: 10760164 Expiration date: 03/31/2026AUTHORIZATION FOR MEDICAL CARE OF A MINOR This form for Authorization for Medical Care of a Minor gives permission for a physician, surgeon or dentist

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Individuals or organizations who are required by law to provide specific information to the Office of Management and Budget (OMB) may need OMB Control 1076-0164.

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What is omb control 1076-0164?

OMB Control 1076-0164 is a form used by federal agencies to collect information from the public.

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Individuals or organizations who are requested by a federal agency to provide information are required to file OMB Control 1076-0164.

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The information required to be reported on OMB Control 1076-0164 will vary depending on the specific request from the federal agency. It could include personal or business information, financial data, or other relevant details.

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