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e1696 - Revised Screen Package
Appointment of Representative
e1696 - Revised Screen Package
OMB: 0960-0527
OMB.report
SSA
OMB 0960-0527
ICR 202109-0960-006
IC 9438
e1696 - Revised Screen Package
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0527 can be found here:
2022-05-25 - Revision of a currently approved collection
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2021-09-29
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2020-12-21
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