Document
SSA-3375-BK
ICR 202407-0960-008 · OMB 0960-0542 · Object 150749800.
Document Viewer [pdf]
Status: No verified local artifact is currently available. The document remains flagged for repair and upstream re-check.
Queue: Repair is queued and waiting for the next worker pass. (priority 25 · next 2026-06-04 21:27:38)
Missing: pdf
No local or Spaces-backed artifact is available yet for this document.
Loading document viewer…
Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | SSA-3375-BK |
| Subject | Use this form to complete a Function Report from child birth to a first birthday. |
| Author | SSA |
| File Modified | 2019-07-16 |
| File Created | 2015-02-11 |
| Conversion State | failed_conversion |