Form SSA-10-BK Application for Widow's or Widower's Insurance Benefits

Application for Widow's or Widower's Insurance Benefits

SSA-10-BK Request for Non-Substantive Change (revised)

Application for Widow's or Widower's Insurance Benefits - Paper Version

OMB: 0960-0004

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Justification for Non-Substantive Changes for Form SSA-10-BK

APPLICATION FOR WIDOW’S OR WIDOWER’S INSURANCE BENEFITS

OMB No. 0960-0004




Justification for Non-Substantive Changes to the Collection


Change: We are making Form SSA-10-BK a fillable form.

Justification: Form SSA-10-BK is currently available in PDF from only. Making this form fillable will make it easier and faster to complete. It will also result in a more legible completed application.




File Typeapplication/msword
Author283180
Last Modified By889123
File Modified2014-09-08
File Created2014-09-08

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