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PRINTED: 11/25/2019 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.

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Infoncdhhsgov dhsr mhlcsnc dhsr stands for Information Collection Request (ICR) for Department of Homeland Security (DHS).

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Certain entities and organizations designated by the Department of Homeland Security are required to file infoncdhhsgov dhsr mhlcsnc dhsr.

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Infoncdhhsgov dhsr mhlcsnc dhsr can be filled out electronically through the designated online portal provided by the Department of Homeland Security.

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The purpose of infoncdhhsgov dhsr mhlcsnc dhsr is to collect specific information from designated entities to assist the Department of Homeland Security in various regulatory and enforcement activities.

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Infoncdhhsgov dhsr mhlcsnc dhsr requires the reporting of relevant data, statistics, and other information as specified by the Department of Homeland Security.

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