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Authorization to Release Medical Report to Physician
OMB 0960-0761
OMB.report
SSA
OMB 0960-0761
OMB 0960-0761
Latest Forms, Documents, and Supporting Material
Document
Name
Form SSA-91 Authorization to Release Medical Report to Physician Form
Form
0960-0761 supporting statement (2010).docx
Supporting Statement A
Addendum.doc
Supplementary Document
Authorization to Release Medical Report to Physician Form
Form
All Historical Document Collections
201006-0960-011
Approved without change
Revision of a currently approved collection
2010-09-14
200704-0960-010
Approved with change
Existing collection in use without an OMB Control Number
2007-06-21
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