Function Report - Adult Third Party

Function Report - Adult Third Party

PRA (revised)

Function Report - Adult Third Party

OMB: 0960-0635

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SSA will insert the following revised PRA Statement into the form as soon as possible:



Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995.  You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number.  We estimate that it will take about 61 minutes to read the instructions, gather the facts, and answer the questions.  Send only comments relating to our time estimate above to:  SSA, 6401 Security Blvd, Baltimore, MD  21235-6401.

File Typeapplication/msword
File TitlePaperwork Reduction Act Statements
AuthorCraig Hartson
Last Modified By889123
File Modified2015-07-30
File Created2015-07-30

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