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Form SSA-8001-BK Application For Supplemental Security Income
Application for Supplemental Security Income
SSA-8001 (revised)
Application for Supplemental Security Income
OMB: 0960-0444
OMB.report
SSA
OMB 0960-0444
ICR 201112-0960-002
IC 188727
Form SSA-8001-BK Application For Supplemental Security Income
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0444 can be found here:
2022-06-07 - Revision of a currently approved collection
2019-09-04 - No material or nonsubstantive change to a currently approved collection
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File Type
application/pdf
File Modified
2011-12-06
File Created
2010-00-00
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