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FORM NUMBER:

SD176

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TITLE:

CERTIFICATE OF CLEARANCE, OFFICE OF THE SECRETARY OF DEFENSE

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EDITION DATE:

19840301

CANCELLATION DATE:

20080522

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AVAILABLE FILE FORMATS:

PLEASE NOTE:

Fillable Adobe:

If no hyperlink appears next to a format, the form is not available electronically.

Perform Pro:

To obtain hard copies of current forms not available in electronic format, please

Form Flow 2.0:

contact your own Military Service or DoD Component Forms Management

Form Flow 99:

Officer. Cancelled forms are not available in electronic formats. Click on link

Other:

for a list of Forms Management POCs.

Forms Management POCs

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REMARKS:

Form is no longer used/necessary based upon JPAS.

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ISSUANCES:

DOD 5200.2-R, CHAPT. VII

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SPONSOR / POC:

WHS

SUB-SPONSOR:

HRD

NUMBER OF PAGES:

1

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USERS*:

WHS-PS

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PRESCRIBED OR ADOPTED?:

DISPOSITION:

FUNCTION CODE:

5200

FORM CONTROLLED:

MANDATORY PRINT SPECIFICATIONS:

Y

RCS:

IRCN:

OMB:

PRIVACY ACT IMPLICATIONS:

N

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* All revisions and/or cancellations must be coordinated through these USERS.

DISPOSITION: S = Do NOT use previous edition. U = Use previous edition until supply is depleted.