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Request of Extension of Time Periods for Extenuating Circumstances
No Surprise Act: IDR Process
13. Appendix-13 Request for Extension Notice
Request of Extension of Time Periods for Extenuating Circumstances
OMB: 1210-0169
OMB.report
TREAS/IRS
OMB 1210-0169
ICR 202302-1545-001CF
IC 252197
Request of Extension of Time Periods for Extenuating Circumstances
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1210-0169 can be found here:
2023-11-03 - Revision of a currently approved collection
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File Title
14. Appendix 14-Request for Extension
Author
Janny Frimpong
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0000-00-00
File Created
2023-08-28
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