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THIRD PARTY COLLECTION PROGRAM/MEDICAL …

THIRD PARTY COLLECTION PROGRAM/MEDICAL …

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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.

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

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