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AA-8 (01-12) Widow/Widower Application for Medicare
Medicare
Form AA-8 (01-12)
Medicare
OMB: 3220-0082
OMB.report
RRB
OMB 3220-0082
ICR 202206-3220-004
IC 33882
AA-8 (01-12) Widow/Widower Application for Medicare
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3220-0082 can be found here:
2025-04-02 - Reinstatement with change of a previously approved collection
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File Modified
2014-10-23
File Created
2014-10-23
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