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Form CWHSP 2.19, Dec 20 CWHSP 2.19, Dec 20 Authorization for Payment of Autopsy
National Coal Workers' Health Surveillance Program (CWHSP)
Attachment 22 Auth for Pay of Autopsy Form No. CDC NIOSH (M) 2.19
Invoice-Pathologist
OMB: 0920-0020
OMB.report
HHS/CDC
OMB 0920-0020
ICR 202111-0920-021
IC 197447
Form CWHSP 2.19, Dec 20 CWHSP 2.19, Dec 20 Authorization for Payment of Autopsy
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0020 can be found here:
2025-07-17 - No material or nonsubstantive change to a currently approved collection
2025-05-02 - Reinstatement with change of a previously approved collection
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