Document

Summary of Changes to Form

ICR 201312-0920-005 · OMB 0920-0199 · Object 43941401.

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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 2026-05-10 02:09:48)

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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 TitleSummary of Changes to Form
AuthorSteinberg, Shari (CDC/OD/OADS)
File Created2021-01-28
Conversion Statepartial