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ICR 202010-0960-012

OMB: 0960-0719

Federal Form Document

Forms and Documents

Document Name	Status
Form SSA-445 Application to Collect A Fee for Payee Services Form	Modified
Form SSA-445 Applicaiton To Collect A Fee For Payee Services (Private Sector Business) Form	Modified
Addendum - 0719.docx Supplementary Document	2021-01-28
Supporting Statement - 0719.docx Supporting Statement A	2021-01-28

IC Document Collections

IC ID	Document Title	Status
9776	Application to Collect A Fee for Payee Services Form	Modified
188037	Applicaiton To Collect A Fee For Payee Services (Private Sector Business) Form	Modified