I-83

OPIC 252 - Form 83 I_signed.pdf

U.S. Effects Screening Questionnaire

I-83

OMB: 3420-0036

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3420-0036 can be found here:

2017-11-28 - Revision of a currently approved collection

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File Modified	2014-10-28
File Created	2014-10-28

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