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SSA-1696 (0960-0527) - 404.1707(a); 416.1507(a) - You [claimant] complete and sign our prescribed appointment form

ICR 202408-0960-006 · OMB 0960-0832 · Object 145403401.

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File Typeapplication/octet-stream
File TitleSSA-1696 (0960-0527) - 404.1707(a); 416.1507(a) - You [claimant] complete and sign our prescribed appointment form
File Modified2024-08-15
File Created2020-12-21
Conversion Statecomplete