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Exhibit 1: Report on Conferences Held by HHS OPDIVs and STAFFDIVs in Excess of $20,000

Operating or Staff Division Name: ____________________  Date: ___________________________

Conference Title:
Venue Name:
City:
State or Country:
Start Date (dd/mm/yy):
End Date (dd/mm/yy):
Purposed of the Conference:
Total Estimated Cost to HHS:
Total Number of Conference Attendees:
Total Number of Federal Attendees(Employees):
Total Number of Non-Federal Attendees (on Travel Reimbursed by HHS):

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