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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 201112-0938-002 · OMB 0938-0921 · Object 29139801.

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

Queue: Repair is queued and waiting for the next worker pass. (priority 70 · next 2026-05-15 22:39:42)

Missing: html

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Primary: docxSource: application/vnd.openxmlformats-officedocument.wordprocessingml.document
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Document Metadata
File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
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
File Created2021-01-31
Conversion Statepartial