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Disability Report - Adult, (Internet Version)
Disability Report - Adult
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Disability Report - Adult, (Internet Version)
OMB: 0960-0579
OMB.report
SSA
OMB 0960-0579
ICR 201803-0960-006
IC 179420
Disability Report - Adult, (Internet Version)
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0579 can be found here:
2021-10-29 - Revision of a currently approved collection
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File Modified
2018-06-26
File Created
2018-06-26
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