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Get SSA-3373-BK 2015

R Federal, State, or local government agencies. We use the information from these programs to establish or verify a person's eligibility for federally funded or administered benefit programs and for repayment of incorrect payments or delinquent debts under these programs. Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. ยง 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we di.

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