State Form 38410 - Information Processing Form

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STATE OF INDIANA - Information Processing
PROJECT
STEP 3
PRELIMINARY DESIGN
Page 1 of 2
A. Requesting Agency:
B. Division or Group:
C. Project Name:
D. Project Number:
E. Description of Project:
F. Revisions to Evaluation of Alternatives:
G. Revisions to Potential Significance, Savings, and Benefits of Project:
H. Implementation Plan:
Activity
Responsibility
Expected Completion
State Form 38410

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