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Federal Register / Vol. 66, No. 16 / Wednesday, January 24, 2001 / Rules and Regulations have federalism implications under Executive Order 13132. For the reasons discussed above, I certify that this

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Begin filling out the form by providing your personal information. This may include your full name, contact details, and any other requested identification information.

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Proceed to fill out any relevant medical information. This could involve specifying the reason for using ophthalmic and topical substances, any known allergies, or previous medications used.

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