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Employee Application for Medicare
Form AA-6 (01-12).pdf
Application for Employee Annuity Under the Railroad Retirement Act
Employee Application for Medicare
OMB: 3220-0002
OMB.report
RRB
OMB 3220-0002
ICR 202012-3220-001
IC 33796
Employee Application for Medicare
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3220-0002 can be found here:
2024-06-28 - Revision of a currently approved collection
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File Modified
0000-00-00
File Created
2012-10-17
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