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Form CWHSP 2.19, 12/202 CWHSP 2.19, 12/202 Authorization for Payment Autopsy
National Coal Workers' Health Surveillance Program (CWHSP)
Attachment 22 Auth for Pay of Autopsy Form No. CDC NIOSH (M) 2.19
Pathologist Report
OMB: 0920-0020
OMB.report
HHS/CDC
OMB 0920-0020
ICR 202111-0920-021
IC 250657
Form CWHSP 2.19, 12/202 CWHSP 2.19, 12/202 Authorization for Payment Autopsy
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0020 can be found here:
2025-05-02 - Reinstatement with change of a previously approved collection
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