Addendum to the Supporting Statement for SSA-91

Addendum--SSA-91.doc

Authorization to Release Medical Report to Physician

Addendum to the Supporting Statement for SSA-91

OMB: 0960-0761

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Addendum to the Supporting Statement for OMB Clearance for the SSA-91

Authorization to Release Medical Report to Physician

20 CFR 401.55 & 401.100

0960-NEW


Form SSA-91, Authorization to Release Medical Report to Physician, 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 Modified2007-04-13
File Created2007-02-02

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