Southeast Region Biweekly Dealer Reporting Form for HMS

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0648-0040 can be found here:

• 2025-12-09 - Revision of a currently approved collection
• 2024-09-06 - Revision of a currently approved collection

Attachment 11

0040

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Attachment 11