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Complaint Form for Allegations of Discrimination in Programs or Activities Conducted by the Social Security Administration

ICR 201303-0960-011 · OMB 0960-0585 · Object 38559801.

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Document Metadata
File Typeapplication/octet-stream
File TitleComplaint Form for Allegations of Discrimination in Programs or Activities Conducted by the Social Security Administration
SubjectThe purpose of this form is to assist you in filing a complaint with the Social Security Administration (SSA)
AuthorSSA
File Modified2011-10-05
File Created2009-09-09
Conversion Statefailed_conversion