Form HA-4633 Claimant's Work Background

Changes to the Information Collection Tools Associated with the Final Rule, Intermediate Improvement to the Disability Adjudication Process, Including How We Consider Past Work (RIN 0960-AI83)

HA-4633 (Revised for PRW FR)

0960-0300 HA-4633 (Paper Form) 404.1560; 416.960

OMB: 0960-0834