Form Information
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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.