SSA-21 - U.S. Residents, Paper Version

Supplement To Claim of Person Outside the United States

0051 PRA Statement (revised)

SSA-21 - U.S. Residents, Paper Version

OMB: 0960-0051

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SSA will insert the following revised PRA Statement into the form as soon as possible:



Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995.  You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number.  We estimate that it will take about 10 minutes to read the instructions, gather the facts, and answer the questions.  Send only comments regarding this burden estimate or any other aspect of this collection, including suggestions for reducing this burden to:  SSA, 6401 Security Blvd, Baltimore, MD  21235-6401.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitlePaperwork Reduction Act Statements
AuthorCraig Hartson
File Modified0000-00-00
File Created2021-05-07

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