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Form SSA-1 Application for Retirement Insurance Benefits
Social Security Benefits Application
Paper Form SSA-1 (IC 1)
Medicare-only Paper Form SSA-1
OMB: 0960-0618
OMB.report
SSA
OMB 0960-0618
ICR 200911-0960-003
IC 191245
Form SSA-1 Application for Retirement Insurance Benefits
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0618 can be found here:
2022-08-25 - No material or nonsubstantive change to a currently approved collection
2021-03-24 - Revision of a currently approved collection
Document [pdf]
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pdf
File Type
application/pdf
Subject
ssa1
Author
PETER
File Modified
0000-00-00
File Created
2006-12-27
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