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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 201401-0938-019 · OMB 0938-0746 · Object 44780501.

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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 2026-05-11 18:35:16)

Missing: html

Download: Source copy (doc)

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 Bryman
File Modified2014-01-30
File Created2014-01-30
Conversion Statepartial