Document

Change Request Form

ICR 202004-0920-018 · OMB 0920-0199 · Object 100605101.

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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 2026-06-10 17:11:48)

Missing: html

Download: Source copy (docx)

Primary: docxSource: application/vnd.openxmlformats-officedocument.wordprocessingml.document
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Document Metadata
File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleChange Request Form
AuthorGarcia, Albert (CDC/DDPHSIS/CPR/OD)
File Created2021-01-14
Conversion Statepartial