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Medicaid Use Report
Medicaid Use Report
OMB: 0960-0267
IC ID: 9170
OMB.report
SSA
OMB 0960-0267
ICR 202312-0960-003
IC 9170
( )
Documents and Forms
Document Name
Document Type
SSI Claims System Screen.pdf
Other-Internal Screens
Updated PRA and PA language.docx
Other-Privacy Act Statement and Paperwork Reduction Act (revised)
Information Collection (IC) Details
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