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Form Approved: OMB No. 09 10-029 1, Expires : 12/31/11 See OMB statement on reverse. FORM FDA 3500A (1/09) E. INITIAL REPORTER. 1. 4. Weight 2.
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The form approved OMB no is the Office of Management and Budget number assigned to a specific form that has been approved for use by a federal agency.
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