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PHYSICAL AND NEUROLOGICAL EXAM OTHER ID NUMBER:FORM CODEPNEDATE: 06/01/2011 Version 1.0ADMINISTRATIVE INFORMATION/0a. Completion Date: Month/ Day0b. Staff ID: YearIntegerGeneral Instructions: This
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Administrative information refers to the data and documentation required for compliance and governance purposes as specified by sitescsccuncedu.
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Individuals or organizations that are participating in programs or activities governed by sitescsccuncedu are required to file administrative information.
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Information such as organizational details, program specifics, compliance metrics, and financial data must be reported on administrative information.
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