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| Critical Access Non-Critical Access | |
| FY 11-13 FY 14 FY 15 | |
| For a 12-month period, please answer the following questions. | |
| $ | |
| $ | |
If you anticipate a reduction in the above data, the percentage entered should be 9x.xx%. If you anticipate an increase in the above data, the percentage entered should be 1xx.xx%. |
% |