Document
21-0960M-12
ICR 201612-2900-004 · OMB 2900-0802 · Object 72299601.
This document may belong to an older filing. More recent activity for OMB 2900-0802:
Document Viewer [pdf]
Status: No verified local artifact is currently available. The document remains flagged for repair and upstream re-check.
Queue: Repair is queued and waiting for the next worker pass. (priority 140 · next 2026-06-12 15:26:08)
Missing: pdf
No local or Spaces-backed artifact is available yet for this document.
Loading document viewer…
Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | 21-0960M-12 |
| Subject | Shoulder and Arm Conditions Disability Benefits Questionnaire |
| File Modified | 2017-03-14 |
| File Created | 2017-03-07 |
| Conversion State | failed_conversion |