Data classification examples
[PDF File]Vaccine Information Statement: Inactivated Influenza Vaccine
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Influenza vaccine does not cause flu. Influenza vaccine may be given at the same time as other vaccines. 3 Talk with your health care provider Tell your vaccine provider if the person getting the vaccine: Has had an allergic reaction after a previous dose of influenza vaccine, or …
[PDF File]Builder's Certification U.S. Department of Housing OMB A ...
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sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number. ... Instructions for Builder's Certification, form HUD-92541 Item 6.
[PDF File]Instructions for Form 5471 (Rev. December 2018)
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Instructions for Form 5471 (Rev. December 2018) ... instructions.
[PDF File]PDPM Calculation Worksheet for SNFs
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based on the relevant MDS 3.0 data for that component. There are 16 PT groups, 16 OT groups, 12 SLP groups, 6 NTA groups, and 25 nursing groups. As opposed to RUG-IV, in which a resident’s classification into a single group determines the case-mix indexes and per-diem rates for all case-mix adjusted components, PDPM classifies residents into ...
[PDF File]Patient Health Questionnaire (PHQ-9)
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PHQ-9 Patient Depression Questionnaire For initial diagnosis: 1. Patient completes PHQ-9 Quick Depression Assessment. 2. If there are at least 4 3s in the shaded section (including Questions #1 and #2), consider a depressive
RECORD FIRING SCORECARD -- SCALED TARGET ALTERNATE …
Title: RECORD FIRING SCORECARD -- SCALED TARGET ALTERNATE COURSE Author: APD Subject: DA FORM 5790-R, JAN 2011 Created Date: 5/14/2014 10:36:34 AM
[PDF File]Request for Leave or Approved Absence
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number. This is an amendment to Title 31, Section 7701. Furnishing the social security number, as well as other data, is voluntary, but failure to do so may delay or prevent action on the application. If your agency uses the information furnished on this form for purposes other than those indicated above, it may
[PDF File]Form W-9 (Rev. October 2018)
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than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An individual who is a U.S. citizen or U.S. resident alien; • A partnership, corporation, company, or association created or
[PDF File]ASSESSMENT Timed Up & Go (TUG)
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ASSESSMENT Purpose: To assess mobility Equipment: A stopwatch Directions: Patients wear their regular footwear and can use a walking aid, if needed. Begin by having the patient sit back in a standard arm chair and identify a line 3 meters, or 10 feet away, on the floor. 2 On the word “Go,” begin timing. 3 Stop timing after patient sits back ...
[PDF File]U.S. Department of Labor PAYROLL Wage and Hour Division ...
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Rev. Dec. 2008 While completion of Form WH-347 is optional, it is mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C.F.R. §§ 3.3, 5.5(a).
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