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Form 4423 (Rev. 3-2016)
ICR 201701-1545-021 · OMB 1545-2251 · Object 71087201.
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Document Metadata
| File Type | application/pdf |
|---|---|
| File Title | Form 4423 (Rev. 3-2016) |
| Subject | Application for Filing Affordable Care Act (ACA) Information Returns |
| Author | SE:WI:CAS:EPSS:OS |
| File Modified | 2016-04-12 |
| File Created | 2016-04-12 |
| Conversion State | complete |