Examples of information systems
[PDF File]USCIS Form I-9
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Employment Eligibility Verification Department of Homeland Security ... Employee Information and Attestation (Employees must complete and sign Section 1 of Form I-9 no later ... Examples of many of these documents appear in Part 13 of the Handbook for Employers (M-274).
[PDF File]Disability Report- Adult
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A complete list of routine uses for this information is available in Systems of Records Notice entitled, Claims Folders Systems, 60-0089. This notice, additional information regarding this form, and information regarding our programs and systems, are available on-line at www.socialsecurity.gov or at your local Social Security office.
[PDF File]Statement of Claimant or Other Person - The United States ...
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STATEMENT OF CLAIMANT OR OTHER PERSON. Form Approved OMB No. 0960-0045 Name of Wage Earner, Self-employed Person, or SSI Claimant. Social Security Number Name of Person Making Statement ... This notice and additional information regarding our programs and systems …
[PDF File]Patient Health Questionnaire (PHQ-9)
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the questionnaire, as well as other relevant information from the patient. Diagnoses of Major Depressive Disorder or Other Depressive Disorder also require impairment of social, occupational, or other important areas of functioning (Question #10) and ruling out normal bereavement, a
[PDF File]DEVELOPMENTAL COUNSELING FORM - United States Army
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The DoD Blanket Routine Uses set forth at the beginning of the Army's compilation of systems or records notices also apply to this system. Disclosure is voluntary. PART I - ADMINISTRATIVE DATA PART II - BACKGROUND INFORMATION. PART III - SUMMARY OF COUNSELING Complete this section during or immediately subsequent to counseling. OTHER INSTRUCTIONS
[PDF File]TINETTI BALANCE ASSESSMENT TOOL
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TINETTI BALANCE ASSESSMENT TOOL GAIT SECTION Patient stands with therapist, walks across room (+/- aids), first at usual pace, then at rapid pace.
[PDF File]Health Benefits Election Form
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Annuitants in retirement systems other than the Civil Service Retirement System (CSRS) or Federal Employees Retirement System (FERS), including individuals receiving monthly ... examples of how this could occur are: ... family member also apply to the information you provide for …
[PDF File]Standard Form 86 - Questionnaire for National Security
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information, or to hold a sensitive position, suitability or fitness for Federal employment, fitness for contract employment, or eligibility for physical and logical access to federally controlled facilities or information systems. Your responses to this form may be compared with your responses to previous SF-86 questionnaires.
[PDF File]National Interagency Coordination Center 0530 MT National ...
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***Additional wildfire information is available through the Geographic Areas at https://gacc.nifc.gov/ Predictive Services Discussion: The frontal boundary in the East will begin to fall apart early in the day as it begins to approach the coast. However, residual shower …
[PDF File]IRS 8300 Report of Cash Payments Over $10,000 FinCEN 8300 ...
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information was furnished to the IRS. Keep a copy of the statement for your records. Multiple payments. If you receive more than one cash payment for a single transaction or for related transactions, you must report the multiple payments any time you receive a total …
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