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Form SSA-11 RPS Screens SSA-11 RPS Screens Request to be Selected as Payee
Request to be Selected as a Payee
RPS Screenshots - Updated
State/Local/Tribal Government: RPS
OMB: 0960-0014
OMB.report
SSA
OMB 0960-0014
ICR 201511-0960-004
IC 186315
Form SSA-11 RPS Screens SSA-11 RPS Screens Request to be Selected as Payee
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0014 can be found here:
2022-06-02 - Revision of a currently approved collection
2019-03-27 - Revision of a currently approved collection
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File Modified
2015-11-30
File Created
2015-11-30
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