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***EXAMPLE 4 *** NRC FORM 742CU (MM-YYYY) MANDATORY DATA COLLECTION AUTHORIZED BY 10 CFR 30, 40, 50, 70,72, 74, 75, 150, Public Laws 83-703, 93-438, 95-91 APPROVED BY OMB: NO. 3150-0058 U.S. DEPARTMENT
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