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For USCG Personnel Only

Collection of Information

This collection of information (COI) is targeted only to USCG personnel, retired USCG members, and dependents. If you are not a member of one of the targeted groups, please do not submit information to the Coast Guard through this form. The Coast Guard will immediately delete any submissions that it receives from persons who do not fit into one of these categories.

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Last Modified 10/10/2013