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1029-0067 198201-1029-001
Historical Active 198104-1029-062
DOI/OSMRE
STATEMENT OF EMPLOYMENT AND FINANCIAL INTEREST (FOR USE BY STATE EMPLOYEES)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 02/04/1982
01/11/1982
The information required by section 3504(c)(3) of the Paperwork Reduction Act must be printed on the form.
  Inventory as of this Action Requested Previously Approved
01/31/1985 01/31/1985
1,000 0 0
500 0 0
0 0 0