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Certificate of Coverage Request via Internet - Employers (minus Denmark, Netherlands, Norway, & Sweden)
Certificate of Coverage Request
WebCOC Screenshots Australia -Chile
Certificate of Coverage Request via Internet - Employers (minus Denmark, Netherlands, Norway, & Sweden)
OMB: 0960-0554
OMB.report
SSA
OMB 0960-0554
ICR 201809-0960-001
IC 206901
Certificate of Coverage Request via Internet - Employers (minus Denmark, Netherlands, Norway, & Sweden)
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0554 can be found here:
2023-10-06 - No material or nonsubstantive change to a currently approved collection
2022-12-14 - Revision of a currently approved collection
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File Modified
2016-06-21
File Created
2016-06-21
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