We told you in an earlier letter that we would let you know when we made a final decision
about (1) (2) . Based on the information in your file, we will continue to use (3) to figure your payments. This decision does not change (4) .
If You Disagree With The Decision
If You Want Help With Your Appeal1
If You Have Any Questions
3901 C- Domestic
3901 D- Foreign
1 If the person lives outside the U.S. or has an attorney, omit this paragraph.