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FORM APPROVED

ICR 201507-0920-006 · OMB 0920-0576 · Object 57087401.

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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 140 · next 2026-07-18 08:45:33)

Missing: html

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Primary: htmlSource: application/msword
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Document Metadata

Record metadata
application/msword
FORM APPROVED
tdg9
CDC User
2012-06-15
2012-06-15
partial