OMB
.report
Search
AA-7, Spouse/Divorced Application for Medicare
Form AA-7 (01-12).pdf
Application for Spouse Annuity Under the Railroad Retirement Act
AA-7, Spouse/Divorced Application for Medicare
OMB: 3220-0042
OMB.report
RRB
OMB 3220-0042
ICR 201212-3220-001
IC 33861
AA-7, Spouse/Divorced Application for Medicare
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3220-0042 can be found here:
2022-04-28 - Extension without change of a currently approved collection
2019-03-04 - Extension without change of a currently approved collection
Document [pdf]
Download:
pdf
|
pdf
File Type
application/pdf
File Modified
0000-00-00
File Created
2012-10-17
© 2024 OMB.report |
Privacy Policy