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THIRD PARTY COLLECTION PROGRAM/MEDICAL …

OMB No. 0720-0055 OMB approval expires October 31, 2022. The public reporting burden for this collection of information is estimated to average 4 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

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  Programs, Medical, Party, Third, Collection, 5500, Third party collection program medical

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