Paperwork Reduction Act

Electronic Records R\.rpress

'in The Paperwork Reduction Act Statement
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Thsinformaliion co!ledi'onrneets the requi"rEJfllefis of44U.S.C. §3507. asameoded by
section 2 of the P~RedudionAct 011995. You dO not need to answer these
questions.uBess wecisplaya valid Office-ofManagement and Budget 'controll'UTlber, We
'estimete that:it wUltak'8abott 1 mirUe to read the instructions. gattlerthefacts, and answer
the questions,
You may send comments on our'ttme estimate above to:· SSA. 6401 SecootyB1vd..
Balimore. twfD 21235-6401_ Send onlY comments relating to ourtlmeeltlmate to this
addre ••..

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