Document
Medicare-only Paper Form SSA-1
ICR 201705-0960-002 · OMB 0960-0618 · Object 75867401.
This document may belong to an older filing. More recent activity for OMB 0960-0618:
Document Viewer [doc]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is queued and waiting for the next worker pass. (priority 70 · next 2026-04-30 11:08:41)
Missing: html
Download: Source copy (doc)
Loading document viewer…
Document Metadata
| File Type | application/msword |
|---|---|
| File Title | Medicare-only Paper Form SSA-1 |
| Author | 889123 |
| Last Modified By | SYSTEM |
| File Modified | 2017-08-02 |
| File Created | 2017-08-02 |
| Conversion State | partial |