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Request For Personal Identity Verification Card
REQUEST FOR PERSONAL IDENTITY VERIFICATION CARD
Copy of Entry Page Registrar and Issuer
REQUEST FOR PERSONAL IDENTITY VERIFICATION CARD
OMB: 2900-0673
OMB.report
VA
OMB 2900-0673
ICR 201203-2900-011
IC 44129
Request For Personal Identity Verification Card
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2900-0673 can be found here:
2015-05-27 - Revision of a currently approved collection
Document [pdf]
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Registrar Entry Page – Blank Copy Issuer Page Blank Copy
File Type
application/pdf
Author
EIE Desktop Technologies
File Modified
2012-08-20
File Created
2012-08-20
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