Application for Replacement Social Security Card - oSSNAP

DESIGN SPECIFICATIONS DOCUMENT
OSSNAP
OMB SCREEN PACKAGE
FINAL

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Table of Contents

Design Specification Document Version Information .............................................. 6
1. Non-U.S. Citizen Original Home ............................................................................. 7
2. U.S. Citizen Replacement Home ............................................................................ 8
3. Age 18 or Older ....................................................................................................... 9
4. Age 18 or Older – No, Underage .......................................................................... 10
5. U.S. Mailing Address Available ............................................................................ 11
6. U.S. Mailing Address Available – No, U.S. Mailing Address .............................. 12
7. Have an SSN .......................................................................................................... 13
8. Citizenship Original for Non-U.S. Citizen ............................................................ 14
9. Citizenship Replacement for U.S. Citizen............................................................ 15
10. 1 Legal Alien Allowed to Work ........................................................................... 16
11. 1 Applying For ..................................................................................................... 17
12. 1 Date of Birth ..................................................................................................... 18
13. 1 Date of Birth – No, Underage .......................................................................... 19
14. 1 Place of Birth – U.S. ......................................................................................... 20
15. 1 Place of Birth - International ........................................................................... 20
16. 1 Name ................................................................................................................. 21
17. 1 Name – Not full name at birth .......................................................................... 22
18. 1 Gender .............................................................................................................. 22
19. 1 Parent’s Names ................................................................................................ 23
20. 1 Parent’s Names – Yes, Known ........................................................................ 24
21. 1 U.S. Mailing Address ....................................................................................... 25
22. 1 Phone ................................................................................................................ 26
23. 1 Non-U.S. Citizen Documentation .................................................................... 27
24. 1 Review and Edit ............................................................................................... 28
26. 1 Attestation ........................................................................................................ 30
27. 1 Attestation – No attestation............................................................................. 31
28. 1 Success ............................................................................................................ 32
29. 2 Applying For Someone Else Name ................................................................. 33
30. 2 Individuals Date of Birth .................................................................................. 34
31. 2 Relationship to Adult ....................................................................................... 35
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32. 2 Relationship to Adult – None of the Above .................................................... 35
33. 2 Individual’s Capabilities .................................................................................. 36
34. 2 Individual’s Capabilities – Yes, Able to apply ................................................ 37
35. 2 Relationship to Child ....................................................................................... 38
36. 2 Relationship to Child – None of the Above .................................................... 39
37. 2 Individual’s Place of Birth – U.S...................................................................... 40
38. 2 Individual’s Place of Birth - International ....................................................... 40
39. 2 Individual’s Name............................................................................................. 41
40. 2 Individual’s Name – Not full name at birth ..................................................... 42
41. 2 Individual’s Gender .......................................................................................... 43
42. 2 Individual’s Parent’s Names............................................................................ 44
43. 2 Individual’s Parent’s Names - Yes, Known .................................................... 45
44. 2 U.S. Mailing Address ....................................................................................... 46
45. 2 Phone ................................................................................................................ 47
46. 2 Individual’s Non-U.S. Citizen Documentation for an Adult ........................... 48
47. 2 Individual’s Non-U.S. Documentation for a Child .......................................... 50
48. 2 Review and Edit ............................................................................................... 52
49. 2 Attestation ........................................................................................................ 55
50. 2 Success ............................................................................................................ 56
51. 3 Applying For ..................................................................................................... 57
52. 3 Changing Data .................................................................................................. 58
53. 3 Date of Birth ..................................................................................................... 59
54. 3 Date of Birth – Underage ................................................................................. 59
55. 3 Name Change ................................................................................................... 60
56. 3 Place of Birth – U.S. ......................................................................................... 61
57. 3 Place of Birth - International ........................................................................... 61
58. 3 SSN ................................................................................................................... 62
59. 3 Name ................................................................................................................. 63
60. 3 Name – Not full name at birth and SSN under other name ........................... 64
61. 3 Gender .............................................................................................................. 65
62. 3 Parent’s Names ................................................................................................ 66
63. 3 Parent’s Name’s - Yes, Known ........................................................................ 67
64. 3 U.S. Mailing Address ....................................................................................... 68
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65. 3 Phone ................................................................................................................ 69
66. 3 U.S. Citizen Documentation – OSSNAP TEAM To Replace This .................. 70
67. 3 U.S. Citizen Documentation – Driver’s License ............................................. 71
68. 3 U.S. Citizen Documentation – State Issued Non-Driver’s ID ......................... 72
69. 3 U.S. Citizen Documentation – U.S. Passport ................................................. 74
70. 3 U.S. Citizen Documentation – None of the Above ......................................... 75
71. 3 Review and Edit ............................................................................................... 76
72. 3 Attestation ........................................................................................................ 78
73. 3 Success ............................................................................................................ 79
74. 4 Applying For Someone Else - Name ............................................................... 85
75. 4 Individual’s Changing Data ............................................................................. 86
76. 4 Individual’s Date of Birth ................................................................................. 87
77. 4 Relationship to Adult ....................................................................................... 88
78. 4 Relationship to Adult – None of the Above .................................................... 88
79. 4 Individual’s Capabilities .................................................................................. 89
80. 4 Individual’s Capabilities - Yes, Able to apply ................................................. 90
81. 4 Relationship to Child ....................................................................................... 91
82. 4 Relationship to Child – None of the Above .................................................... 92
83. 4 Name Change ................................................................................................... 92
84. 4 Individual's Place of Birth – U.S. ..................................................................... 93
85. 4 Individual's Place of Birth - International ....................................................... 94
86. 4 Individual's SSN ............................................................................................... 94
87. 4 Individual's Name ............................................................................................. 95
88. 4 Individual's Name – Not full name at birth and SSN under other name ....... 96
89. 4 Individual's Gender .......................................................................................... 97
90. 4 Individual's Parent’s Names ............................................................................ 98
91. 4 Individual's Parent’s Names - Yes, Known..................................................... 99
92. 4 U.S. Mailing Address ..................................................................................... 100
93. 4 Phone .............................................................................................................. 101
94. 4 Individual's U.S. Citizen Documentation – OSSNAP TEAM To Replace This
................................................................................................................................. 102
95. 4 Individual's U.S. Citizen Documentation – Driver’s License ....................... 103
96. 4 Individual's U.S. Citizen Documentation – State Issued Non-Driver’s ID ... 104
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97. 4 Individual's U.S. Citizen Documentation – U.S. Passport ........................... 105
98. 4 Individual's U.S. Citizen Documentation – None of the Above ................... 106
99. 4 Review and Edit ............................................................................................. 125
100. 4 Attestation .................................................................................................... 128
101. 4 Success ........................................................................................................ 129

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Design Specification Document Version Information
The first release of this design specifications document as a project deliverable is numbered 1.0.
Subsequent revisions are numbered 1.1, 1.2, 1.3, etc. Content revisions are listed below with corresponding
page numbers.

Version
Number

Date

Content Revisions

Page
#

Revised
by

1.0 (Draft)

04/06/2021

Draft for review – L. Dawson

All

LMD

2.0 Final

04/07/2021

Final – L. Dawson

All

LMD

3.0 Final v2

04/09/2021

Final – With changes to grammar throughout as requested by Valerie Wozny of
OISP/OEEMP on 4/8/2021.

All

LMD

4.0 Final V3

04/12/2021

Final – With changes to language as requested by Chris Signil of OPSOS / DOACS on
4/12/2021.

Pgs 39,
47, 49,
51, 86,
87, 100

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•
•

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Pg 39 - 2 Individual’s Place of Birth: “your” to “the individual’s”
Pg 47 – 2 Non US Citizen Documentation Adult: “the individual” to “you”
Pg 49 – 2 Non US Citizen Documentation Child: “the individual” to “you”,
remove mention of Age or Alien status
Pg 51 – 2 Review and Edit: changes based on the changes above.

•
•

Pg 86, 87 - 4 Individual’s Place of Birth: “your” to “the individual’s”
Pg 100 - 4 Review and Edit: changes based on the changes above.

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1. Non-U.S. Citizen Original Home

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2. U.S. Citizen Replacement Home

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3. Age 18 or Older

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4. Age 18 or Older – No, Underage

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5. U.S. Mailing Address Available

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6. U.S. Mailing Address Available – No, U.S. Mailing Address

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7. Have an SSN

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8. Citizenship Original for Non-U.S. Citizen

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9. Citizenship Replacement for U.S. Citizen

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10. 1 Legal Alien Allowed to Work

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11. 1 Applying For

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12. 1 Date of Birth

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13. 1 Date of Birth – No, Underage

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14. 1 Place of Birth – U.S.

15. 1 Place of Birth - International

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16. 1 Name

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17. 1 Name – Not full name at birth

18. 1 Gender

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19. 1 Parent’s Names

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20. 1 Parent’s Names – Yes, Known

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21. 1 U.S. Mailing Address

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22. 1 Phone

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23. 1 Non-U.S. Citizen Documentation

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24. 1 Review and Edit

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26. 1 Attestation

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27. 1 Attestation – No attestation

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28. 1 Success

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29. 2 Applying For Someone Else Name

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30. 2 Individuals Date of Birth

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31. 2 Relationship to Adult

32. 2 Relationship to Adult – None of the Above

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33. 2 Individual’s Capabilities

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34. 2 Individual’s Capabilities – Yes, Able to apply

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35. 2 Relationship to Child

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36. 2 Relationship to Child – None of the Above

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37. 2 Individual’s Place of Birth – U.S.

38. 2 Individual’s Place of Birth - International

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39. 2 Individual’s Name

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40. 2 Individual’s Name – Not full name at birth

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41. 2 Individual’s Gender

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42. 2 Individual’s Parent’s Names

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43. 2 Individual’s Parent’s Names - Yes, Known

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44. 2 U.S. Mailing Address

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45. 2 Phone

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46. 2 Individual’s Non-U.S. Citizen Documentation for an Adult

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47. 2 Individual’s Non-U.S. Documentation for a Child

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48. 2 Review and Edit

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49. 2 Attestation

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50. 2 Success

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51. 3 Applying For

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52. 3 Changing Data

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53. 3 Date of Birth

54. 3 Date of Birth – Underage

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55. 3 Name Change

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56. 3 Place of Birth – U.S.

57. 3 Place of Birth - International

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58. 3 SSN

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59. 3 Name

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60. 3 Name – Not full name at birth and SSN under other name

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61. 3 Gender

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62. 3 Parent’s Names

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63. 3 Parent’s Name’s - Yes, Known

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64. 3 U.S. Mailing Address

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65. 3 Phone

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66. 3 U.S. Citizen Documentation – OSSNAP TEAM To Replace This

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67. 3 U.S. Citizen Documentation – Driver’s License

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68. 3 U.S. Citizen Documentation – State Issued Non-Driver’s ID

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69. 3 U.S. Citizen Documentation – U.S. Passport

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70. 3 U.S. Citizen Documentation – None of the Above

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71. 3 Review and Edit

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72. 3 Attestation

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73. 3 Success

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73.3 Documentation Name Change Self

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75.3 Divorce Decree

76.3 Marriage Documentation

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77.3 Court Order Approving Name Change

78.3 Amended Birth Certificate

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79.3 Identity Self Data
79.3.1 State Issued Identification Name Change

80.3 Drivers Licensee Name Change

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81.3 US Passport Name Change

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74. 4 Applying For Someone Else - Name

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75. 4 Individual’s Changing Data

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76. 4 Individual’s Date of Birth

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77. 4 Relationship to Adult

78. 4 Relationship to Adult – None of the Above

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79. 4 Individual’s Capabilities

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80. 4 Individual’s Capabilities - Yes, Able to apply

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81. 4 Relationship to Child

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82. 4 Relationship to Child – None of the Above

83. 4 Name Change

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84. 4 Individual's Place of Birth – U.S.

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85. 4 Individual's Place of Birth - International

86. 4 Individual's SSN

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87. 4 Individual's Name

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88. 4 Individual's Name – Not full name at birth and SSN under other name

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89. 4 Individual's Gender

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90. 4 Individual's Parent’s Names

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91. 4 Individual's Parent’s Names - Yes, Known

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92. 4 U.S. Mailing Address

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93. 4 Phone

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94. 4 Individual's U.S. Citizen Documentation – OSSNAP TEAM To Replace This

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95. 4 Individual's U.S. Citizen Documentation – Driver’s License

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96. 4 Individual's U.S. Citizen Documentation – State Issued Non-Driver’s ID

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97. 4 Individual's U.S. Citizen Documentation – U.S. Passport

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98. 4 Individual's U.S. Citizen Documentation – None of the Above

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99.4 Documentation Self w/Name Change Field Input

DO

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100.4 Documentation w/ Self Name Change Amended Birth Certificate

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101.4 Documentation w/ Self Name Change Court Order for Name Change

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102.4 Documentation w/Self Name Change Marriage Document / U.S. only

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103.4 Documentation w/Self Name Change Divorcee Decree

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104.4 Documentation Child w/Field Input

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105.4 Identity Child Data

105.4.1 State Issues Identification

105.4.2 Drivers License

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105.4.3 Passport

106.4 COURT CUSTODY CHILD DATA FIELDS

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107.4 Identity Documentation for Child
107.4.1 Driver’s License

107.4.2 State Issued Non-Drivers ID

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107.4.3 U.S. Passport

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108.4 Documentation Child Name Change w/ Field Input

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109.4 Amended Birth Certificate

110.4 Divorcee Decree

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111.4 Marriage Documentation

112.4 Court Order

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113.4 Identity Documentation for Child

113.4.1 U.S. Passport

113.4.2 Drivers License

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113.4.3 State Issued Non-Drivers ID

114.4 COURT CUSTODY CHILD DATA FIELDS

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115.4 Identity Child Documentation
115.4.1 Drivers Licensee

115.4.2 State Issued Non-Drivers ID

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115.4.3 U.S. Passport

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99. 4 Review and Edit

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100. 4 Attestation

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101. 4 Success

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