Current SSA-3369 EDCS Screens

SSA-3369 EDCS Screenshots (Current).docx

Changes to the Information Collection Tools Associated with the Final Rule, Intermediate Improvement to the Disability Adjudication Process, Including How We Consider Past Work (RIN 0960-AI83)

Current SSA-3369 EDCS Screens

OMB: 0960-0834

Document [docx]
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EDCS Screenshots of the 3369 Form

January 24, 2017


Shape3 Shape2 Shape1



3369 ID/Work History Page



Shape5 Shape4



3369 Job Information Page




3369 Job Information Page (continued)


Shape7 Shape6


3369 Remarks Page


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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSherrod, Latia A.
File Modified0000-00-00
File Created2024-07-25
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