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0938-0107 198008-0938-001
Historical Active
HHS/CMS
INDEPENDENT RURAL HEALTH CLINIC COST REPORTING FORM AND INSTRUCTIONS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/29/1980
08/25/1980
  Inventory as of this Action Requested Previously Approved
10/31/1982 10/31/1982
800 0 0
9,600 0 0
0 0 0