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According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it

ICR 201110-0938-008 · OMB 0938-0269 · Object 28166201.

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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 2026-06-05 07:16:50)

Missing: html

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Primary: htmlSource: application/msword
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Document Metadata
File Typeapplication/msword
File TitleAccording to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it
AuthorHCFA Software Control
Last Modified ByMitch
File Modified2011-10-12
File Created2011-05-27
Conversion Statepartial