Addendum to the Supporting Statement for the SSA-104

Addendum--SSA-104.doc

Claimant Travel Reimbursement Request

Addendum to the Supporting Statement for the SSA-104

OMB: 0960-0752

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Addendum to the Supporting Statement for OMB Clearance for SSA-104

Claimant Travel Reimbursement Request

20 CFR 404.999a-d

0960-NEW



Form SSA-104, Claimant Travel Reimbursement Request, is currently in use without an OMB number. This inadvertent violation of the Paperwork Reduction Act was discovered in December 2006, and this clearance package was compiled to correct the lack of an OMB number.

File Typeapplication/msword
File TitleADDENDUM TO SUPPORTING STATEMENT
AuthorNaomi
Last Modified By177717
File Modified2007-04-16
File Created2007-02-02

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