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Form DS-4316 Eligibility Questionnaire for Havana Act Payments
Eligibility Questionnaire for HAVANA Act Payments
DS-4316 Updated
Eligibility Questionnaire For HAVANA Act Payments
OMB: 1405-0250
OMB.report
STATE/AFA
OMB 1405-0250
ICR 202303-1405-010
IC 253057
Form DS-4316 Eligibility Questionnaire for Havana Act Payments
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1405-0250 can be found here:
2023-06-21 - RCF New
2023-04-13 - RCF New
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File Type
application/pdf
File Title
DS-4316
Author
KottmyerAM
File Modified
2022-12-27
File Created
2022-12-27
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