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pdfThe Paperwork Reduction Act of 1995(Pub.L. 104-13)
Public reporting burden for this collection of information is estimated to average 0.01 hours, per response, including the time for
reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information, unless it displays a
currently valid OMB control number.
OMB Control No: 0970-0161 Expiration Date: xx/xx/xxxx
The Paperwork Reduction Act of 1995(Pub.L. 104-13)
Public reporting burden for this collection of information is estimated to average 0.01 hours, per response, including the time for
reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information, unless it displays a
currently valid OMB control number.
OMB Control No: 0970-0161 Expiration Date: xx/xx/xxxx
The Paperwork Reduction Act of 1995(Pub.L. 104-13)
Public reporting burden for this collection of information is estimated to average 0.01 hours, per response, including the time for
reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information, unless it displays a
currently valid OMB control number.
OMB Control No: 0970-0161 Expiration Date: xx/xx/xxxx
The Paperwork Reduction Act of 1995(Pub.L. 104-13)
Public reporting burden for this collection of information is estimated to average 0.01 hours, per response, including the time for
reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information, unless it displays a
currently valid OMB control number.
OMB Control No: 0970-0161 Expiration Date: xx/xx/xxxx
The Paperwork Reduction Act of 1995(Pub.L. 104-13)
Public reporting burden for this collection of information is estimated to average 0.01 hours, per response, including the time for
reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information, unless it displays a
currently valid OMB control number.
OMB Control No: 0970-0161 Expiration Date: xx/xx/xxxx
The Paperwork Reduction Act of 1995(Pub.L. 104-13)
Public reporting burden for this collection of information is estimated to average 0.01 hours, per response, including the time for
reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information, unless it displays a
currently valid OMB control number.
OMB Control No: 0970-0161 Expiration Date: xx/xx/xxxx
The Paperwork Reduction Act of 1995(Pub.L. 104-13)
Public reporting burden for this collection of information is estimated to average 0.01 hours, per response, including the time for
reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information, unless it displays a
currently valid OMB control number.
OMB Control No: 0970-0161 Expiration Date: xx/xx/xxxx
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