ICR Documents

Document Date Uploaded
Supporting Statement - 0072 (Final).docx 01/30/2023

Document Date Uploaded

Title Document Document Type Date Uploaded
Addendum - 0072 Addendum - 0072 (Final).docx Supplementary Document 01/30/2023
Revised SSA-454-BK (Paper Form) SSA-454-BK (Revised).pdf Supplementary Document 01/30/2023
Revised i454 Screens i454 Screens Package (Revised).pdf Supplementary Document 01/30/2023
Revised Adult EDCS Screens SSA-454 - Adult EDCS Screenshots (Revised).pdf Supplementary Document 01/30/2023
Justification for the Non-Substantive Changes to 0960-0072 Justification for a Non-Substantive Changes - 0072.docx Justification for No Material/Nonsubstantive Change 01/30/2023

Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received