Statement of Living Arrangements, In-Kind Support and Maintenance

Statement of Living Arrangements, In-Kind Support and Maintenance

0174 PRA

Statement of Living Arrangements, In-Kind Support and Maintenance

OMB: 0960-0174

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SSA will insert the following revised PRA Statement into the form at its next scheduled reprinting:



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 (OMB) control number.  We estimate that it will take about

7 minutes to read the instructions, gather the facts, and answer the questions.  Send only comments relating to our time estimate above to:  SSA, 6401 Security Blvd, Baltimore, MD  21235-6401.

File Typeapplication/msword
File TitlePaperwork Reduction Act Statements
AuthorCraig Hartson
Last Modified BySYSTEM
File Modified2017-11-28
File Created2017-11-28

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