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Fillable AGENT ORANGE REGISTRY CODE SHEET 10-9009

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OMB Number 2900-0376 Estimated burden: 20 min. Expiration Date: 3/31/2004 AGENT ORANGE REGISTRY CODE SHEET TT #5 Facility Number (Use PTF No. only) (2 - 4) Suffix (5 7) This information is collected in accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. The public reporting burden for this collection of information is estimated to average 20 minutes per response,...
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