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ICR 202609-0925-001 · OMB 0925-0698 · Object 174247600.

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application/pdf
Application
Simmons, Jennifer (NIH/CC/OCRTME) [E]
Acrobat PDFMaker 20 for Word
2026-05-11
2020-05-26
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11111\..\. National Institutes of Health
lilllf/ CJinica/Center
NIH Public Reporting Burden Statement
Public reporting burcien for this collection of information is estimated to average 20 minutes per response, incll..lding ll'le time for reviewing instructions, searcning existing ciata sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid 0MB control number.
Send comments regarding this burden estimate or any other aspect of this collection or information. including suggestions for reducing this burden. to:
NIH, Project Clearance Branch,
6705 Rockledge Drive, MSC 7974,
Bethesda, MD 20892-7974,
ATTN: PRA (0925-0698).
Do not return the completed form to this address.

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