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Application for Lump-Sum Death Payment--MCS with Electronic Signature (Signature Proxy)
Application for Lump-Sum Death Payment
SSA-8-F4 MCS screens
Application for Lump-Sum Death Payment--MCS with Electronic Signature (Signature Proxy)
OMB: 0960-0013
OMB.report
SSA
OMB 0960-0013
ICR 201303-0960-013
IC 44961
Application for Lump-Sum Death Payment--MCS with Electronic Signature (Signature Proxy)
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0013 can be found here:
2022-09-30 - Revision of a currently approved collection
2019-08-07 - Revision of a currently approved collection
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File Modified
2010-02-04
File Created
2010-01-21
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