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 How Do You Fill Out Form Omb No0960 0045 2015

How Do You Fill Out Form Omb No0960 0045 2015

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(03-2015) Destroy Prior Editions Privacy Act Statement Collection and Use of Personal Information Section 205a of the Social Security Act (42 U.S.C. § 405a), as amended, authorizes us to collect the information on this form. We will use this information to determine your potential eligibility for benefit payments. Furnishing us this information is voluntary. However, failing to provide us with all or part of the requested information may affect our ability to evaluate the decision on your...
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