Private Sector: Paper SSA-11-BK

Request to be Selected as a Payee

SSA-11-BK revised privacy act statement

Private Sector: Paper SSA-11-BK

OMB: 0960-0014

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0014 can be found here:

2022-06-02 - Revision of a currently approved collection

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