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OMB No. 11210249 Approval Expires 03/31/2019 DEATHS IN CUSTODY2016 STATE PRISON INMATE DEATH REPORT Form NPS4A (Addendum) U.S. DEPARTMENT OF JUSTICE BUREAU OF JUSTICE STATISTICS AND ACTING AS COLLECTION
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1121-0249 approval expires 0331 is a form required for certain approvals that have an expiration date of 03/31.
Entities or individuals holding approvals that expire on 03/31 are required to file form 1121-0249.
Form 1121-0249 should be completed by providing the required information about the approved activity and the expiration date of 03/31.
The purpose of form 1121-0249 is to ensure that approvals with an expiration date of 03/31 are properly documented and renewed if necessary.
Form 1121-0249 requires details about the approved activity, the expiration date of 03/31, and any relevant supporting documentation.
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