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Form SSA-8000-BK Application for Supplemental Security Income (Revised)
Application for Supplemental Security Income (SSI)
SSA-8000-BK - Revised
Application for Supplemental Security Income--Paper Version
OMB: 0960-0229
OMB.report
SSA
OMB 0960-0229
ICR 201703-0960-018
IC 44924
Form SSA-8000-BK Application for Supplemental Security Income (Revised)
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0229 can be found here:
2021-12-03 - Revision of a currently approved collection
2021-05-07 - No material or nonsubstantive change to a currently approved collection
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application/pdf
File Title
P352B82-20170320154835
File Modified
2017-03-24
File Created
2017-03-20
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