( 0 1 -9 4 )
INSTRUCTION S: In a continuing eff ort to im prove the U.S. Department of Energy (DOE) Technical Standards, t his form is
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STA PLE) mailed t o th e address indic ated or fax ed to (42 3) 5 74 -03 82 .
The submitter of t his form must complete blocks 1 through 8 .
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w ill reply t o th e submit ter w ithin 30 calendar days of receipt f rom t he TSPO.
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to w aive any port ion of the ref erenced doc ument (s) or to amend c ont ract ual requirem ents.
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including suggestions for reducing this burden, to Off ice of Information Resources Management Policy, Plans, and Oversight,
Records M anagem ent Div ision , HR-4 22 - GTN, Paperw ork Reduct ion Project (1910-09 00), U.S. Department of Energy, 1000
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Project (19 10 -09 00 ), W ashingt on, DC 20 50 3.
U.S. Department of Energy Technical Standards Program Off ice
c/o Performance Assurance Project Off ice
P. O. Box 2 0 0 9 , Bldg. 9 2 0 1 -3
Oak Ridge, Tennessee 378 31 -80 65