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Form SSA-58 Modified Benefit Formula Questionnaire-Employer
Modified Benefit Formula Questionnaire-Employer
SSA-58
Modified Benefit Formula Questionnaire-Employer
OMB: 0960-0477
OMB.report
SSA
OMB 0960-0477
ICR 200802-0960-005
IC 9371
Form SSA-58 Modified Benefit Formula Questionnaire-Employer
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0477 can be found here:
2020-08-07 - Revision of a currently approved collection
2017-05-17 - Revision of a currently approved collection
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File Modified
2008-02-14
File Created
2008-02-14
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