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Category I, CE c) Claimants re Report to Medical Provider (subset of "CE Forms Samples" category)
Disability Case Development Information Collections
OMB: 0960-0555
IC ID: 179019
OMB.report
SSA
OMB 0960-0555
ICR 202402-0960-002
IC 179019
( )
Documents and Forms
Document Name
Document Type
Category I - CE c) Report to Med Provider - Revised.pdf
Other-Sample of state DDS Claimant Report Letter/Form
Category I - CE c) Report to Med Provider - Current.pdf
Category I - CE c) Report to Med Provider - Current
IC Document
Information Collection (IC) Details
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