Download:
pdf |
pdf OMB Control No. 0960-0788
Expiration Date: July 2014
Paperwork Reduction Act Statement
Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. §3507, as amended by section
2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of
Management and Budget control number. We estimate that it will take about 5 minutes to complete this survey. You may send
comments on our time estimate above: SSA, 6401 Security Blvd., Baltimore, MD 21235-6401. Send only comments relating to our
time estimate to this address.
| File Type | application/pdf |
| File Modified | 2013-03-21 |
| File Created | 2013-03-21 |