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Revised SSA-454-BK (Paper Form)
SSA-454-BK (Revised).pdf
Continuing Disability Review Report
Revised SSA-454-BK (Paper Form)
OMB: 0960-0072
OMB.report
SSA
OMB 0960-0072
ICR 202301-0960-003
Revised SSA-454-BK (Paper Form)
( Supplementary Document )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0072 can be found here:
2023-05-01 - No material or nonsubstantive change to a currently approved collection
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