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Form SSA-1414 Credit Card Payment Form
Credit Card Payment Form
SSA-1414 (revised)
Credit Card Payment Form
OMB: 0960-0648
OMB.report
SSA
OMB 0960-0648
ICR 201402-0960-010
IC 9686
Form SSA-1414 Credit Card Payment Form
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0648 can be found here:
2021-11-19 - Revision of a currently approved collection
2018-10-15 - Revision of a currently approved collection
Document [pdf]
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pdf
File Type
application/pdf
Author
Poist, Kristina
File Modified
2014-02-27
File Created
2014-02-18
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