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Medical Source Statement of Ability To Do Work-Related Activities (Physical) - SSA-1151
Medical Source Statement of Ability to Do Work-Related Activities
OMB: 0960-0662
IC ID: 9709
OMB.report
SSA
OMB 0960-0662
ICR 202404-0960-013
IC 9709
( )
Documents and Forms
Document Name
Document Type
Form HA-1151-BK
Medical Source Statement of Ability To Do Work-Related Activities (Physical) - SSA-1151
Form
HA-1151-BK Medical Source Statement of Ability to Do Work-Related Activities (Physical)
HA-1151-BK (revised).pdf
Form
Privacy Act Statement (revised).docx
Other-Revised PA Statement
HA-1151-BK (current).pdf
HA-1151-BK (current)
IC Document
Information Collection (IC) Details
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