Document
Statement of Claimant or Other Person-Medical Resident FICA Refund Claims
ICR 201102-0960-006 · OMB 0960-0786 · Object 22920601.
This document may belong to an older filing. More recent activity for OMB 0960-0786:
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is in progress, but the document is still incomplete and remains in the worker queue. (priority 70 · next 2026-06-05 01:32:05)
Missing: html
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | text/html |
|---|---|
| File Title | Statement of Claimant or Other Person-Medical Resident FICA Refund Claims |
| Author | 178751 |
| File Created | 2021-02-01 |
| Conversion State | partial |