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Treating Physician Consultative Examination Interest Form
OMB 0960-0751
OMB.report
SSA
OMB 0960-0751
OMB 0960-0751
Latest Forms, Documents, and Supporting Material
Document
Name
Form SSA-84 Treating Physician Consultative Examination Interest Form
Form
Supporting Statement (revised).doc
Supporting Statement A
MER letter.tif
Supplementary Document
Addendum--SSA-84[1].doc
Supplementary Document
Treating Physician Consultative Examination Interest Form
Form
All Historical Document Collections
201002-0960-012
Approved without change
Revision of a currently approved collection
2010-05-18
200704-0960-009
Approved without change
Existing collection in use without an OMB Control Number
2007-06-21
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