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New Registration Due to Representative Payee Medicare Replacement Card Application (RpMRC)
SSA's Public Credentialing and Authentication Process
Revised eAccess Screens - March 2021
New Registration Due to Representative Payee Medicare Replacement Card Application (RpMRC)
OMB: 0960-0789
OMB.report
SSA
OMB 0960-0789
ICR 202109-0960-005
IC 246464
New Registration Due to Representative Payee Medicare Replacement Card Application (RpMRC)
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0789 can be found here:
2024-08-08 - No material or nonsubstantive change to a currently approved collection
2023-11-17 - Revision of a currently approved collection
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