Addendum to the Supporting Statement for SSA-84

Addendum--SSA-84.doc

Treating Physician Consultative Examination Interest Form

Addendum to the Supporting Statement for SSA-84

OMB: 0960-0751

Document [doc]
Download: doc | pdf

Addendum to the Supporting Statement for OMB Clearance for the SSA-84

Treating Physician Consultative Examination Interest Form

20 CFR 404.1519g-i

0960-NEW



Form SSA-84, Treating Physician Consultative Examination Interest Form, is currently in use without an OMB number. This inadvertent violation of the Paperwork Reduction Act was discovered in December 2006, and this clearance package was compiled to correct the lack of an OMB number.

File Typeapplication/msword
File TitleADDENDUM TO SUPPORTING STATEMENT
AuthorNaomi
Last Modified By177717
File Modified2007-04-12
File Created2007-02-02

© 2024 OMB.report | Privacy Policy