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Form MRP-5 Self - Certification Medical Statement
Self - Certification Medical Statement
MRP-5 Form
Self Certification Medical Statement
OMB: 0579-0196
OMB.report
USDA/APHIS
OMB 0579-0196
ICR 200710-0579-002
IC 2369
Form MRP-5 Self - Certification Medical Statement
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0579-0196 can be found here:
2021-03-19 - Revision of a currently approved collection
2021-01-04 - No material or nonsubstantive change to a currently approved collection
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File Modified
2008-03-19
File Created
2008-03-19
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