Test for scan

Feb 3rd, 2012
Studypool Tutor
Rochester Institute of Technology
Course: ECON
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This is a test of the scanner . Hopefully it works . this document is useless.................................Blank blank blank blank. Blank Blank Blank test test

Word Count: 2369
Showing Page: 1/5
OMB No. 0720-0008OMB approval expiresFeb 29, 2016TRICARE PRIME ENROLLMENT, DISENROLLMENT, ANDPRIMARY CARE MANAGER (PCM) CHANGE FORMThe public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering andmaintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, includingsuggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 4800 Mark Center Drive, Alexandria,VA 22350-3100 (0720-0008). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if itdoes not display a currently valid OMB control number.PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO THE APPROPRIATE ADDRESSBELOW.PRIVACY ACT STATEMENTAUTHORITY: 10 U.S.C. 1079 and 1086, 38 U.S.C. Chapter 17; 32 CFR 199.17; and E.O. 9397 (SSN), as amended.PRINCIPAL PURPOSE(S): To obtain information necessary to permit individuals to enroll, disenroll, or change their provider in TRICAREPrime, TRICARE Prime Remote, or the Uniformed Services Family Health Plan, as requested by the individual.ROUTINE

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