Authorization for SSA to Obtain Account Records From A Financial Institution And Request for Records - Financial Institutions (Electronic)

Authorization for SSA to Obtain Account Records From A Financial Institution And Request For Records

e4641 Screenshots

Authorization for SSA to Obtain Account Records From A Financial Institution And Request for Records - Financial Institutions (Electronic)

OMB: 0960-0293

Document [pdf]
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Example Screens
SSA Request: The screens an SSA employee sees when creating a new AFI request using the e4641 system.
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FI View: The screens a financial institution (FI) employee sees when using the FI version of the e4641 system to
respond to SSA’s AFI request.
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SSA Response: The screens the SSA employee sees when viewing the FI’s response in the e4641 system.
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File Typeapplication/pdf
AuthorGant, Alexa
File Modified2022-01-10
File Created2022-01-10

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