The following revised PRA Statement will be inserted into the form at its next scheduled reprinting:
Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget control number. We estimate that it will take about 5 minutes to read the instructions, gather the facts, and answer the questions. You may send comments on our time estimate above to: SSA, 6401 Security Blvd, Baltimore, MD 21235-6401. Send only comments relating to our time estimate to this address, not the completed form.
| File Type | application/msword |
| File Title | Paperwork Reduction Act Statements |
| Author | Craig Hartson |
| Last Modified By | Naomi |
| File Modified | 2006-05-19 |
| File Created | 2006-05-19 |