0960-0078 (Form SSA-671)
Revised Paperwork Reduction Act Statement
We will insert the following PRA statement into the form during the next scheduled reprint.
Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to complete this mailer unless we display a valid Office of Management and Budget control number. We estimate that it will take 5 minutes to complete this collection. Send only comments on our time estimate to: SSA, 1333 Annex Building, 6401 Security Blvd., Baltimore, MD 21235-6401.
| File Type | application/msword |
| File Title | Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U |
| Author | Faye I. Lipsky |
| Last Modified By | 666429 |
| File Modified | 2008-06-25 |
| File Created | 2008-06-25 |