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OMB NO. 18200550 Expires: 12/31/2009 ANNUAL STATE APPLICATION UNDER PART C OF THE INDIVIDUALS WITH DISABILITIES EDUCATION ACT AS AMENDED IN 2004 FEDERAL FISCAL YEAR 2009 CODA No. 84.181A ED FORM No.
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Any individual or organization applying for a specific benefit or program may be required to fill out Part C of the application.
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The purpose of Part C is to collect essential details from the applicant to determine eligibility or qualification for the benefit or program being applied for.
Part C may require personal details, financial information, and other specific data depending on the requirements of the application.
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