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Medicare-only MCS SSA-1 screens
Social Security Benefits Application
SSA-1 MCS Screens (IC 2)
Medicare-only MCS SSA-1 screens
OMB: 0960-0618
OMB.report
SSA
OMB 0960-0618
ICR 202103-0960-010
IC 191244
Medicare-only MCS SSA-1 screens
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0618 can be found here:
2022-08-25 - No material or nonsubstantive change to a currently approved collection
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File Type
application/pdf
Subject
ssa-1
Author
PETER
File Modified
0000-00-00
File Created
2007-03-22
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