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Form HA-520 Request for Review of Hearing Decision/Order
Request for Review of Hearing Decision/Order
HA 520 (revised)
Request for Review of Hearing Decision/Order
OMB: 0960-0277
OMB.report
SSA
OMB 0960-0277
ICR 201509-0960-009
IC 9181
Form HA-520 Request for Review of Hearing Decision/Order
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0277 can be found here:
2023-10-06 - No material or nonsubstantive change to a currently approved collection
2021-03-05 - Revision of a currently approved collection
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2015-08-31
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