ARKANSAS STATE LIBRARY At the Arkansas State Library DOCUMENT SERVICES, ARKANSAS STATE LIBRARY 900...

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Transcript of ARKANSAS STATE LIBRARY At the Arkansas State Library DOCUMENT SERVICES, ARKANSAS STATE LIBRARY 900...

  • For Office Use Only

    Classification Number:

    Name of Agency: Division/Department/Office:

    Contact Person: Telephone:

    Statutory Authority for Promulgating Rules:

    Title of Rule:

    Rule Status Date Adopted by Agency Effective Date

    (Use drop down to select different status)

    10 Days After Filing

    Other: _______________ (if other, specify date)

    Rule above is proposed and will be replaced by final version

    Financial and/or Fiscal Impact Statement Attached

    Certification of Authorized Officer I hereby certify that the attached rules were adopted in compliance with Act 434 of 1967 as amended.

    Signature: ______________________________________________ Date: _____________________

    Title: ____________________________________________________________________________

    Agency Certification Form For Depositing Rules

    At the Arkansas State Library

    DOCUMENT SERVICES, ARKANSAS STATE LIBRARY 900 West Capitol Avenue, Suite 100

    Little Rock, AR 72201 501-682-2550

    aslib-govdocs@arkansas.gov

    ARKANSAS STATE LIBRARY

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    Agency Certification Form For Depositing Final Rules and Regulations At the Arkansas State Library DOCUMENT SERVICES, ARKANSAS STATE LIBRARY 900 West Capitol Avenue, Suite 100 Little Rock, AR 72201 Phone: 501-682-2840 Fax: 501-682-1532

    Certification of Authorized Officer

    For Office Use Only Classification Number: Statutory Authority for Promulgating Rules: Title of Rule: Date: Title: Contact Person: Telephone: RuleProposedandReplacedbyFinal: Off FiscalImpactAttached: Off Name of Agency: Division: Effective Date: Off Text2: Text3: Status: [New]