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Statement of Care and Responsibility for Beneficiary
ICR 202108-0960-011 · OMB 0960-0109 · Object 114241201.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Statement of Care and Responsibility for Beneficiary |
| Subject | Statement of Care and Responsibility for Beneficiary |
| Keywords | SSA-788, 788, Statement of Care and Responsibility for Beneficiary, Statement, Responsibility, Care, Beneficiary |
| Author | SSA |
| Last Modified By | Adobe LiveCycle Designer ES 9.0 |
| File Modified | 2015-01-14 |
| File Created | 2014-12-16 |
| Conversion State | complete |