Regulation Notice of Compliance
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Instructions for completing this form:
- Enter the required information in the appropriate sections.
- Press the Submit button once done.
- You will receive an Adobe file (PDF file) which you will need to save.
- After the form has been printed, it must be signed and dated by an authorized individual.
- Deliver the signed PDF form to the Regulations Division.
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NOTE: Entry boxes are sized to fit the printed report. If what is typed does not fit in the box, it will be truncated when printed.
To see if what was entered will fit, select the Preview Format button.
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Invalid Chapter Number
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Invalid Chapter Title
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(Register Number - Publication Date)
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If prior notification to and/or approval of the Governor, Legislature or others
was required, list each notification, and/or approval and date, including notice to the Local
Government Advisory Commission.
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Invalid Prior Notification
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M.G.L. c. 30A section 2 and/or 3 requires notice
of the hearing or comment period, including a small business impact statement, be filed with the
Secretary of the Commonwealth, published in appropriate newspapers, and sent to persons to whom
specific notice must be given at least 21 days prior to such hearing or comment period.
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Invalid Date of Public Hearing
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M.G.L. c. 30A section 5 requires each agency to file an amended small business impact statement
with the Secretary of the Commonwealth prior to the adoption of a proposed regulation. Note: If
the purpose of this regulation is to set rates for the state, this section does not apply.
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Invalid Date of Small Business Impact
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Invalid Agency Address
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