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information related to this system of records; and, to third parties, including contractors, performing or working on
a contract in connection with providing services to the Federal Government, who may require access to this
system. A complete list of the routine uses can be found in the system of records notice associated with this
collection, FCC/OMD-33, Ensuring Workplace Health and Safety in Response to a Public Health Emergency, 86 Fed.
Reg. 32674 (June 22, 2021).
Consequence of Failure to Provide Information: Providing this information is required and failure to do so may
result in disciplinary action for federal employees. In providing this information, the submitter authorizes release
of the information pursuant to the routine uses set forth in the systems of record notice.
If you are using Assistive Technology and are unable to complete this form please contact
COVID_RESPONSE@fcc.gov for immediate assistance.
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45 L Street NE
Washington, DC 20554
Phone: 1-888-225-5322
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Fax: 1-866-418-0232
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5/23/2022, 10:39 AM
| File Type | application/pdf |
| File Modified | 2022-06-06 |
| File Created | 2022-05-25 |