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D.3 Community Service Certificate

ICR 202606-1220-003 · OMB 1220-0202 · Object 170057900.

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File Typeapplication/pdf
File TitleD.3 Community Service Certificate
Last Modified ByAdobe InDesign 20.4 (Macintosh)
File Modified2025-06-26
File Created2025-06-26
Conversion Statecomplete
Extracted Text
CERTIFICATE OF

Community Service
In recognition of participation in a U.S. Bureau of Labor Statistics–sponsored
survey, we hereby present you with this certificate of community service.

This certifies that

[YOUTH FIRST AND LAST NAME]
participated in a Bureau of Labor Statistics survey in [YEAR]

5
HOURS

Based on the time required to participate in the survey interview process, respondents are credited 5 hours of
community service for participation in the survey. For more information, please call 1-866-800-9180.
[CONTROL ID]