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pdfBUREAU OF LABOR STATISTICS
QUARTERLY STATUS REPORT
U.S. DEPARTMENT OF LABOR
We estimate that it will take an average of 1.00 hour to complete this form including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed,
and completing and reviewing the information. Your response is required to obtain or retain benefits under 29 USC 49f(a)(3)(D). If you have any comments regarding these estimates or any other
aspect of this form, including suggestions for reducing this burden, send them to the Bureau of Labor Statistics, Division of Financial Planning and Management (1220-0079), 2 Massachusetts
Avenue, NE, Room 4135, Washington, DC 20212-0001. You are not required to respond to the collection of information unless it displays a currently valid OMB control number.
State Abbreviation:
Program/Activity:
CA Number:
Reference Period:
Funding Amount:
This report indicates 75% completion of work?
Today's Date:
Program/Activity Completion Date:
Milestone
(from Work Statement)
Start/Completion Dates
(from Work Statement)
Status
(If completed, show date)
Comments (optional):
State Agency Representative:
Phone:
BLS Representative:
Date of Review:
BLS LMI-2B (Revised June 2003)
OMB No. 1220-0079
Approval Expires xx-xx-xxxx
Yes
Comments
(Describe variation from plan)
No
File Type | application/pdf |
Author | SMITH_A |
File Modified | 2012-03-09 |
File Created | 2012-01-27 |