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Category I , CE a) Medical Evidence from CE Providers (Paper Forms; subset of "CE Forms Samples" category)
Disability Case Development Information Collections
Claimant Request with Headache Questionnaire
Category I , CE a) Medical Evidence from CE Providers (Paper Forms; subset of "CE Forms Samples" category)
OMB: 0960-0555
OMB.report
SSA
OMB 0960-0555
ICR 202402-0960-002
IC 9480
Category I , CE a) Medical Evidence from CE Providers (Paper Forms; subset of "CE Forms Samples" category)
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⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0555 can be found here:
2024-12-12 - No material or nonsubstantive change to a currently approved collection
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