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Form DS-4316 Eligibility Questionnaire for Havana Act Payments
Eligibility Questionnaire for HAVANA Act Payments
ds4316 Aug 2022
Eligibility Questionnaire For HAVANA Act Payments
OMB: 1405-0250
OMB.report
STATE/AFA
OMB 1405-0250
ICR 202211-1405-004
IC 253057
Form DS-4316 Eligibility Questionnaire for Havana Act Payments
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1405-0250 can be found here:
2026-01-07 - No material or nonsubstantive change to a currently approved collection
2026-01-07 - RCF Recertification
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