Statement for Exempt Individuals and Individuals With a Medical Condition

OMB 1545-1411

Latest Forms, Documents, and Supporting Material

Document Name
Statement for Exempt Individuals and Individuals With a Medical Condition Form

All Historical Document Collections

200208-1545-016 Approved without change	Extension without change of a currently approved collection	2002-08-14
199908-1545-009 Approved without change	Extension without change of a currently approved collection	1999-08-13
199609-1545-001 Approved without change	Revision of a currently approved collection	1996-09-04
199310-1545-008 Approved without change	New collection (Request for a new OMB Control Number)	1993-10-06