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Revised page 8 of the SSA-3369
Revised Page 8 of the SSA-3369-BK.pdf
Work History Report
Revised page 8 of the SSA-3369
OMB: 0960-0578
OMB.report
SSA
OMB 0960-0578
ICR 200803-0960-002
Revised page 8 of the SSA-3369
( Supplementary Document )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0578 can be found here:
2020-12-09 - Revision of a currently approved collection
2017-05-17 - Revision of a currently approved collection
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if other than the disabled person This change was approved for the SSA-3368 (0960-0579) on 2/1/08
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File Modified
2008-03-06
File Created
2008-03-06
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