SEMI-ANNUAL REPORT ON LEGISLATIVE AND RULEMAKING ACTIVITIES CONDUCTED PURSUANT TO 45 C.F.R. 1612.6

Recipient Name: ________________________________________________________

Recipient Number: __________________________

Recipient Period: ___________________________

Type of Activity                                         Section of 1612.6                 Date(s)

Description:_____________________________________________________________
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Type of Activity                                         Section of 1612.6                 Date(s)

Description:_____________________________________________________________
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Type of Activity                                         Section of 1612.6                 Date(s)

Description:_____________________________________________________________
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Type of Activity                                         Section of 1612.6                 Date(s)

Description:_____________________________________________________________
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