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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.


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1545-1163 199501-1545-012
Historical Active 199203-1545-004
TREAS/IRS
CHANGE OF ADDRESS
Extension without change of a currently approved collection   No
Regular
Approved without change 03/31/1995
Retrieve Notice of Action (NOA) 01/19/1995
You may omit printing the expiration date on this form.
  Inventory as of this Action Requested Previously Approved
03/31/1998 03/31/1998 05/31/1995
1,500,000 0 0
387,501 0 387,501
0 0 0