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Reconciling Missing Actions

ICR 202610-0906-006 · OMB 0906-0081 · Object 174170000.

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Document Metadata

Record metadata
application/pdf
Reconciling Missing Actions
Adobe Acrobat (64-bit) 26.1.21431
2026-06-23
2026-04-28
complete

Extracted Text

Reconciling Missing Actions Form and Instruction

Non-visible Questions
Label

PDF Name
(step)

Location

Response
Input
Item

Visibility Trigger

Other

Report DCN
Number

Reconciling Below Report the
Missing
action now
Actions (1)

Text
Entry

If the user selects
Also displays
“Already reported Additional
the action” the text Comments
entry is displayed

Additional
Comments

Reconciling Below Report DCN
Missing
Number
Actions (1)

Text
Entry

If the user selects Also displays
“Already reported Report DCN
the action” the text Number
entry is displayed

Please
describe why
this action is
not reportable

Reconciling Below Action is not
Missing
reportable
Actions (1)

Text
entry

If the user selects
“Action is not
reportable” the
text entry is
displayed

None

Reconciling Below Ask my
Missing
compliance officer a
Actions (1) question

Text
entry

If the user select
“Ask my
compliance officer
a question the text
entry is displayed

State Changes
Label
OMB Number:
0906-0081
Expiration
Date:
mm/dd/yyyy

PDF Name
Reconciling
Missing Actions

Item Type
Modal

Trigger
When the user selects the link the modal is displayed
with the public burden statement content.