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Form Approved OMB No

ICR 201008-0990-001 · OMB 0990-0360 · Object 19262201.

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Status: The document is viewable, but some background extraction is still pending.

Queue: Repair is in progress, but the document is still incomplete and remains in the worker queue. (priority 70 · next 2026-07-11 16:30:58)

Missing: html

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Primary: htmlSource: application/msword
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Document Metadata
File Typeapplication/msword
File TitleForm Approved OMB No
AuthorGEARS INC
Last Modified ByDHHS
File Modified2010-07-13
File Created2010-07-13
Conversion Statepartial