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Notice of Lien Transmittal Letter
Form ID-30B (08-12).pdf
Supplemental Information on Accident and Insurance
Notice of Lien Transmittal Letter
OMB: 3220-0036
OMB.report
RRB
OMB 3220-0036
ICR 202011-3220-001
IC 187866
Notice of Lien Transmittal Letter
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3220-0036 can be found here:
2024-06-27 - Revision of a currently approved collection
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2014-06-10
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2014-06-10
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