PDF-Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 1 hour per response including the time for reviewing instructions searching existing data sources gathering and ma. 180212 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington DC 20549 FORM F1 REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933 Exact name of Registrant as specified in its charter Translation of Registrants name into English State 09380600 OMB No 0938060057375 MEDICARE CREDIT BALANCE REPORT 57471 CERTIFICATION PAGE57471 The Medicare Credit Balance Report is required under the authority of sections 1815a 1833e 1886a1C and related provisions of the Social Security Act Failure t 706 54711 and 54713 of the Federal Communications Commissions rules require all telecommunications carriers providing interstate telecommunications services interconnected voice over Internet protocol VoIP providers that provide interstate telecommun Name Title Complete Address Phone Number Payee Individual authorized to accept Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existi Form Approved OMB No. 0704 - 0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time fo r reviewing instructions, searching exis puorG laicnaniF OMB dna OMB .rosivda tnemtsevni deretsiger-CES na ,.cnI ,srosivdA htlaeW reltsO rekotS yb desu eman edart a si reltsO rekotS .laertnoM fo knaB yb desu seman edart eraraloB .S leahciM Doug . Backman. Module 3. OMB Circular A-110. Uniform Administrative Requirements. Doug Backman. Exploring Research Administration…for CONCEPT to COMMERCIALIZATION. AGENDA. Authority & Definitions. Time . and Effort Reporting . What is Effort?. http://www.whitehouse.gov/omb/circulars/a021/a21_2004.html. Total effort is defined as whatever amount of time a person devotes to fulfilling his/her university responsibilities.. 4 4 4 4 4 4 Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. II. Claims Correspondence Table: Time . and Effort Reporting . What is Effort?. http://www.whitehouse.gov/omb/circulars/a021/a21_2004.html. Total effort is defined as whatever amount of time a person devotes to fulfilling his/her university responsibilities.. Other Asian (with space to write in race) Native Hawaiian Guamanian or Chamorro Samoan Other Pacific Islander (write in race) Other (write in race) Note that race and eth 4444444444444444444444444444444444444444444444444444444444444444444444444444444444444415 Which months are you available to volunteer Check all that apply January February March April May June July Aug SectLon 2 nstLtutLon AutKorLed RepresentatLve CertLfLcatLonUnLted States Department of EducatLon to deobOLJate ARP EERF Jrant funds Ln tKe manner and amount LndLcated Ln SectLon 1 of tKLs form acNnoZ