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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
0293 Supporting Statement 09.14.17 (clean).docx
10/25/2017
Supporting Statement B
Document
Date Uploaded
Supplementary Documents
Title
Document
Document Type
Date Uploaded
Privacy Impact Assessment for 0293
0293 Privacy Impact Assessment.pdf
Supplementary Document
10/25/2017
CY 2019 Free Clinic Program application markup 06_22_18.docx
CY 2019 Free Clinic Program application markup 06_22_18.docx
Supplementary Document
07/30/2018
Non Substantive Change Memo
CY 19 Application _OMB non-substantive change memo_6_22_18 sd.docx
Justification for No Material/Nonsubstantive Change
07/27/2018
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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