Document

CHANGE WORKSHEET FOR OMB NO

ICR 201003-1240-014 · OMB 1240-0014 · Object 16388201.

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Status: The document is viewable, but some background extraction is still pending.

Queue: Repair is in progress, but the document is still incomplete and remains in the worker queue. (priority 70 · next 2026-06-06 18:40:29)

Missing: html

Download: Source copy (doc)

Primary: htmlSource: application/msword
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Document Metadata
File Typeapplication/msword
File TitleCHANGE WORKSHEET FOR OMB NO
AuthorUS Department of Labor
Last Modified ByU.S. Department of Labor
File Modified2009-04-24
File Created2009-04-24
Conversion Statepartial