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Form Approved – OMB No

ICR 202012-0560-004 · OMB 0560-0237 · Object 107088501.

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

Queue: Repair is queued and waiting for the next worker pass. (priority 70 · next 2026-06-08 05:35:44)

Missing: html

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Primary: htmlSource: application/msword
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Document Metadata
File Typeapplication/msword
File TitleForm Approved – OMB No
AuthorJoanne.shaw
Last Modified Bymaryann.ball
File Modified2010-07-01
File Created2010-07-01
Conversion Statepartial