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1-783 (Rev. 5-5-2011) OMB-1110-0052 APPLICANT INFORMATION FORM PRIVACY ACT STATEMENT The FBI s acquisition, retention, and sharing of information submitted on this form is generally authorized under
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OMB 1110-0052 is a form used for reporting financial information by certain entities to the Office of Management and Budget.
Entities specified by OMB regulations are required to file OMB 1110-0052.
OMB 1110-0052 can be filled out electronically or manually following the instructions provided on the form.
The purpose of OMB 1110-0052 is to collect financial information to assist in budget preparation and evaluation of government programs.
Entities must report specific financial information as outlined in the instructions accompanying OMB 1110-0052.
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