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Authorization to Disclose Information to the Social Security Administration
SSA-827 (11-12).pdf
Medical Reports
Authorization to Disclose Information to the Social Security Administration
OMB: 3220-0038
OMB.report
RRB
OMB 3220-0038
ICR 201609-3220-001
Authorization to Disclose Information to the Social Security Administration
( Supplementary Document )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3220-0038 can be found here:
2023-12-29 - Extension without change of a currently approved collection
2019-12-23 - Revision of a currently approved collection
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2014-10-08
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2014-10-08
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