OMB control number

Request For Medical Report Hospital Pulmonary Tuberculosis

OMB 0960-0067 · SSA.

OMB 0960-0067

Latest Forms, Documents, and Supporting Material

Document Name
REQUEST FOR MEDICAL REPORT HOSPITAL PULMONARY TUBERCULOSIS Form

All Historical Document Collections

197903-0960-012 Approved with change	No material or nonsubstantive change to a currently approved collection	1979-03-28
197803-0960-003 Approved without change	Extension without change of a currently approved collection	1978-03-06