Claimant's Medications

Electronic Records Express

Claimant's Medications

OMB: 0960-0289

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0289 can be found here:

2024-12-13 - Revision of a currently approved collection
2021-11-02 - Revision of a currently approved collection

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Social Security Online: Electronic Records Express

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Electronic Records Express
Electronic Records Express
"Embracing Technology to Deliver Benefits"

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File Type	application/pdf
File Modified	2009-06-10
File Created	2009-06-10