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Disability Report-Appeal 20 CFR 404.1512, 416.912, 404.916(c), 416.1416(c), 405 subpart C, 422.140
Disability Report-Appeal 20 CFR 404.1512, 416.912, 404.916(c), 416.1416(c), 405 subpart C, 422.140
i3441-Current
Disability Report-Appeal 20 CFR 404.1512, 416.912, 404.916(c), 416.1416(c), 405 subpart C, 422.140
OMB: 0960-0144
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OMB 0960-0144
ICR 200608-0960-011
IC 43698
Disability Report-Appeal 20 CFR 404.1512, 416.912, 404.916(c), 416.1416(c), 405 subpart C, 422.140
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⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0144 can be found here:
2024-10-22 - Revision of a currently approved collection
2020-12-09 - Extension without change of a currently approved collection
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CURRENT i3441 REVIEW & SEND COLLECTION SCREEN
199501
File Type
application/msword
Author
379402
Last Modified By
Preferred Customer
File Modified
2006-08-21
File Created
2006-08-21
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