SSA-L4163 - Current
SSA-L4163 - Current.pdf
Agency/Employer Government Pension Offset Questionnaire
SSA-L4163 - Current
OMB: 0960-0470
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0470 can be found here:
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| File Type | application/pdf |
| File Title | P352B82-20160210143935 |
| File Modified | 2017-08-03 |
| File Created | 2016-02-10 |