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0960-0578 SSA-3369 (Paper Form) 404.1560; 416.960
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)
OMB: 0960-0834
IC ID: 262364
OMB.report
SSA
OMB 0960-0834
ICR 202404-0960-003
IC 262364
( )
Documents and Forms
Document Name
Document Type
Form SSA-3369
0960-0578 SSA-3369 (Paper Form) 404.1560; 416.960
Form and Instruction
SSA-3369 Work History Report
SSA-3369 (Revised for PRW FR).pdf
www.ssa.gov
Form and Instruction
SSA-3369 (Current).pdf
Current SSA-3369
IC Document
Information Collection (IC) Details
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