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Census Partnership Program Focus Groups and Interviews
ICR 201103-0607-005 · OMB 0607-0965 · Object 23547301.
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Appendix D: Partnership Program Focus Group Acknowledgement of Receipt of Payment
I acknowledge receipt of the $50 payment for participating in the Partnership Program Focus Group in [city, state] on [date]
Name, printed Signature
OMB Control Number: 0607-XXXX
Expiration Date: September 30, 2011
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Census Partnership Program Focus Groups and Interviews |
| Author | ICFI |
| File Modified | 0000-00-00 |
| File Created | 2021-02-01 |