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Form SSA-521 Request for Withdrawal of Application
Request for Withdrawal of Application
Proposed SSA 521
Request for Withdrawal of Application
OMB: 0960-0015
OMB.report
SSA
OMB 0960-0015
ICR 201201-0960-010
IC 43688
Form SSA-521 Request for Withdrawal of Application
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0015 can be found here:
2021-09-09 - Revision of a currently approved collection
2018-06-25 - Revision of a currently approved collection
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File Modified
2012-01-19
File Created
2010-00-00
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