Document
Request for Reconsideration
ICR 201712-0960-008 · OMB 0960-0622 · Object 79705501.
This document may belong to an older filing. More recent activity for OMB 0960-0622:
Document Viewer [pdf]
Status: Original and derived artifacts are available for this document.
Download: pdf
Loading document viewer…
Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Request for Reconsideration |
| Subject | This form is used to request a reconsideration of a decision made by SSA. |
| Author | SSA |
| File Modified | 2016-08-10 |
| File Created | 2015-06-24 |
| Conversion State | complete |