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OMB Control No. 1910-1800 OMB Burden Disclosure Statement on Reverse The U.S. Department of Energy (DOE) has received information which has been evaluated as raising a doubt regarding your eligibility for access authorization. This interview is authorized to afford you an opportunity to furnish an explanation of such information. If a substantial doubt still exists regarding your eligibility for access authorization after consideration of the investigative record, as well as the explanation pro.

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