Document
Claimants Medications
ICR 202407-0960-005 · OMB 0960-0289 · Object 144977800.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Claimants Medications |
| Subject | Form is used to list prescribed medications that claimants are taking |
| Author | SSA |
| File Modified | 2016-02-19 |
| File Created | 2016-02-19 |
| Conversion State | failed_conversion |