By submitting this form, I agree to accept custodianship of the above listed key(s), I will not share the key(s) with any other personnel. I will return the key(s) upon such time I leave HHS Administration, or I no longer need to have this key access.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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