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Respondents should be aware that notwithstanding any other provision of law no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION* RETURN COMPLETED FORM TO OFFICE OF FAMILY POLICY/CHILDREN AND YOUTH 4800 MARK CENTER DRIVE SUITE 03G15 ALEXANDRIA VA 22350-1400 1. DATE OF REQUEST YYYYMMDD 2. EXPIRATION DATE YYYYMMDD To be completed by Faci ...

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