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Form SSA-454-BK Continuing Disability Review Report
Continuing Disability Review Report
SSA-454-BK--Mock Up with Revisions
Continuing Disability Review Report
OMB: 0960-0072
OMB.report
SSA
OMB 0960-0072
ICR 200804-0960-001
IC 9017
Form SSA-454-BK Continuing Disability Review Report
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0072 can be found here:
2023-05-01 - No material or nonsubstantive change to a currently approved collection
2023-01-30 - No material or nonsubstantive change to a currently approved collection
Document [pdf]
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pdf
File Type
application/pdf
Subject
SSA-454
Author
ZATZ, ALAN
File Modified
2008-03-04
File Created
2008-02-04
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