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Get GSA 917 1989-2024

QUESTING ORGANIZATION (Service/staff Office) 4. CORRESPONDENCE SYMBOL 5. ADP USER CODE OR GSA APPROPRIATION NO. 6a. PERSON TO CONTACT FOR LIAISON (Name) 6b. BUILDING AND ROOM NO. 6c. TELEPHONE CODE AND EXTENSION 8. EFFECTIVE DATE 7. REQUESTER (Signature and date) 9. SERVICE/STAFF OFFICE APPROVAL (Signature and date) 10. TYPE OF SUPPORT REQUESTED: NEW RECURRING SUPPORT ONE-TIME SPECIAL MODIFICATION TO EXISTING SYSTEM OTHER (Specify) 11. PRIVACY ACT OF 1974, 88 STAT. 1895 U.S.C. 552a.

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