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1115-0003 200108-1115-003
Historical Active 199810-1115-008
DOJ/INS
Alien Change of Address Card
Extension without change of a currently approved collection   No
Regular
Approved without change 10/23/2001
08/14/2001
Approved consistent with changes agreed upon in 10/9/01 and 10/23/01 memo. INS will submit a revised version of this form within two week's of this package's approval date. INS will also develop a means for electronic submission of this form by the next submission of this package.
  Inventory as of this Action Requested Previously Approved
10/31/2004 10/31/2004 11/30/2001
250,000 0 250,000
20,750 0 20,750
0 0 0