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COVID Screener Questionnaire
Social Security Administration (SSA) COVID-19 Symptoms Screener for Hearings
COVID-19 Visitor Procedures Notice - Website Link - Revised
COVID Screener Questionnaire
OMB: 0960-0824
OMB.report
SSA
OMB 0960-0824
ICR 202203-0960-014
IC 250661
COVID Screener Questionnaire
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0824 can be found here:
2022-06-14 - Revision of a currently approved collection
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File Type
application/pdf
File Title
COVID-19 Insert.pdf
Author
463230
File Modified
2022-03-30
File Created
2022-03-30
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