Add ins tab custom ribbon

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MS-Access

VBA

In moving a project from Access 2003 to 2010 I created a custom ribbon tab using the USysRibbons method. It works fine but it only shows up when I open the mdb without the shift key. How can I get that tab to show up in the ribbon when I'm in shift key mode? I don't "call" it anywhere in code. It's only set to the one I created in the Options->Current Database->Ribbon and Toolbar Options section. So I don't understand why it doesn't show up all the time and only when opening the mdb without the shift key. Is there an immediate window command that will get it to show up? or some other way?

Thanks

I tried this: http://msdn.microsoft.com/en-us/library/office/ff194416%28v=office.15%29.aspx[^]

but when I run it, I get "already loaded" but the tab still does not show.