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Form #
CMS 1957
Form Title
SSO REPORT OF STATE BUY IN PROBLEM
Revision Date
1994-03-01
O.M.B. #
0938-0035
O.M.B. Expiration Date
2016-09-30
CMS Manual
N/A
Special Instructions
You must either visit or contact the Social Security Administration to obtain this form. 1-800-772-1213