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0704-0100 199110-0704-001
Historical Active 198904-0704-034
DOD/DODDEP
APPLICATION FOR DISCHARGE OF MEMBER OR SURVIVOR OF MEMBER OF GROUP CERTIFIED TO HAVE PERFORMED ACTIVE DUTY WITH THE ARMED FORCES OF THE UNITED STATES
Revision of a currently approved collection   No
Regular
Approved without change 01/03/1992
10/23/1991
  Inventory as of this Action Requested Previously Approved
12/31/1994 12/31/1994 12/31/1991
1,000 0 1,002
500 0 600
0 0 0