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Paperwork Reduction Act Statement

Paperwork Reduction Act Statement : A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0020. Public reporting for this collection of information is estimated to be approximately 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of information. All responses to this collection of information are mandatory CFR 14 Part 43. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524 FAA Form 337 (10/06) MAJOR repair AND ALTERATIONUS Department of Transportation (Airframe, Powerplant, Propeller, or Appliance)Federal AviationAdministrationOMB No.

Certificated Repair Station Certificated Maintenance Organization D. I certifythatthe repair and/or alteration made tothe unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information

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  Repair, Accordance, In accordance

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