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Omb 1110 0052 2011 form

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The information reported on this form may be disclosed pursuant to your consent and may also be disclosed by the FBI without your consent pursuant to the Privacy Act of 1974 and all applicable routine uses. Under the Paperwork Reduction Act you are not required to complete this form unless it contains a valid OMB control number. The form takes approximately 3 minutes to complete. Applicant Information Denotes Required Fields Last Name First Name Middle Name 1 Date of Birth Last Four Digits of S ...

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