Physical description for original version: 1 folded sheet (6 p.) ; 10 x 15 cm
原資料等に関する注記
原資料の出版事項: [Baltimore, Md.?] ; [Washington, D.C.?] : U.S. Dept. of Health and Human Services, Social Security Administration : U.S. Dept. of the Treasury, Internal Revenue Service, [1984?]