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Form Approved Through 8/31/2015×OMB No. 09250001 Department of Health and Human Services Public Health Services Grant Application Do not exceed character length restrictions indicated. LEAVE BLANKER
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This form is the official document for reporting financial information to the government.
Any individual or organization that meets the criteria set forth by the government.
The form can be filled out either online or by hand, following the instructions provided by the government.
The purpose of the form is to collect financial information from individuals and organizations for government records.
The form requires details such as income, expenses, assets, and liabilities to be reported.
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