[{"id":"L15XRB","type":"radio","calc":false,"value":"L15XA"},{"id":"L15XRB","type":"radio","calc":false,"value":"L15XB"},{"id":"L16XRB","type":"radio","calc":false,"value":"L16XA"},{"id":"L16XRB","type":"radio","calc":false,"value":"L16XB"},{"id":"L18XRB","type":"radio","calc":false,"value":"L18XA"},{"id":"L18XRB","type":"radio","calc":false,"value":"L18XB"},{"id":"NAME","type":"alpha","calc":true,"value":""},{"id":"SSN","type":"ssn","calc":true,"value":""},{"id":"DESC","type":"alpha","calc":false,"value":""},{"id":"L1","type":"number","calc":false,"value":""},{"id":"L2A","type":"number","calc":false,"value":""},{"id":"L2B","type":"number","calc":false,"value":""},{"id":"L2C","type":"number","calc":false,"value":""},{"id":"L3","type":"number","calc":false,"value":""},{"id":"L4","type":"mask","calc":false,"value":""},{"id":"L5","type":"number","calc":true,"value":""},{"id":"L6","type":"number","calc":false,"value":""},{"id":"L7","type":"number","calc":false,"value":""},{"id":"L8","type":"number","calc":true,"value":""},{"id":"L9","type":"number","calc":false,"value":""},{"id":"L10A","type":"number","calc":true,"value":""},{"id":"L10B","type":"number","calc":true,"value":""},{"id":"L11","type":"number","calc":false,"value":""},{"id":"L12","type":"number","calc":false,"value":""},{"id":"L13","type":"number","calc":true,"value":""},{"id":"L14","type":"number","calc":false,"value":""},{"id":"L15","type":"number","calc":false,"value":""},{"id":"L16","type":"number","calc":false,"value":""},{"id":"L17","type":"number","calc":true,"value":""},{"id":"L18","type":"number","calc":false,"value":""},{"id":"L19A","type":"number","calc":false,"value":""},{"id":"L19B","type":"number","calc":true,"value":""},{"id":"L20","type":"number","calc":true,"value":""},{"id":"L21","type":"mask","calc":true,"value":""}]