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1545-1891 201011-1545-016
Historical Active 200711-1545-008
TREAS/IRS EC-1545-1891-016
Form 13560, HCTC Health Plan Administrator (HPA) Return of Funds Form
Extension without change of a currently approved collection   No
Regular
Approved without change 03/27/2011
02/25/2011
  Inventory as of this Action Requested Previously Approved
03/31/2014 36 Months From Approved 03/31/2011
200 0 200
50 0 50
0 0 0