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Application for Parent's Insurance Benefits / Modernized Claims System (MCS) / Signature Proxy / SSA-7-F6/ and Preliminary Claims System (PCS)
Application for Parent's Insurance Benefits
MCS Screens
Application for Parent's Insurance Benefits / Modernized Claims System (MCS) / Signature Proxy / SSA-7-F6/ and Preliminary Claims System (PCS)
OMB: 0960-0012
OMB.report
SSA
OMB 0960-0012
ICR 201902-0960-009
IC 8887
Application for Parent's Insurance Benefits / Modernized Claims System (MCS) / Signature Proxy / SSA-7-F6/ and Preliminary Claims System (PCS)
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0012 can be found here:
2021-09-30 - Revision of a currently approved collection
Document [pdf]
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File Modified
2015-04-03
File Created
2008-10-16
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