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State/Local/Tribal Government: RPS
Request to be Selected as a Payee
eRPS screen for SSA-11 (Revised)
State/Local/Tribal Government: RPS
OMB: 0960-0014
OMB.report
SSA
OMB 0960-0014
ICR 201812-0960-004
IC 186315
State/Local/Tribal Government: RPS
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0014 can be found here:
2022-06-02 - Revision of a currently approved collection
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application/pdf
Author
Carboni, Christopher M.
File Modified
2019-02-07
File Created
2019-02-07
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