| 0960-0847 |
Ticket to Work Program Evaluation |
2026-04-03 |
| 0960-0846 |
mySocial Security – Security Authentication PIN (SAP) |
2026-03-31 |
| 0960-0840 |
Supportive Housing & Individual Placement and Support (SHIPS) Study |
2025-07-02 |
| 0960-0839 |
Representative Availability Portal for Social Security Administration (SSA) Hearings |
2024-04-23 |
| 0960-0838 |
Omitting Food From In-Kind Support and Maintenance Calculations |
2024-03-27 |
| 0960-0837 |
Changes to the Use of Electronic Payroll Data to Improve Program Administration |
2024-12-31 |
| 0960-0836 |
SSA Beyond Benefits Study (BBS) Data Collection |
2024-12-05 |
| 0960-0835 |
Expand the Definition of a Public Assistance Household (NPRM) - RIN 0960-AI81 |
2024-04-19 |
| 0960-0834 |
Intermediate Improvement to the Disability Adjudication Process: Including How We Consider Past Work - RIN 0960-AI83 |
2024-04-18 |
| 0960-0833 |
State of Georgia’s Criminal Justice Coordinating Council’s (CJCC) Evaluation of the Implementation of the (SSI)/SSDI Outreach, Access, and Recovery (SOAR) Model in County Jails |
2023-07-19 |
| 0960-0832 |
NPRM for Administrative Rules for Claimant Representation and Provisions for Direct Payment to Entities (Marasco Decision), RIN 0960-AI22 |
2024-08-21 |
| 0960-0831 |
NPRM for Administrative Rules for Expansion of the Rental Subsidy Policy for Supplemental Security Income (SSI) Applicants and Recipients- RIN 0960-AI82 |
2024-04-11 |
| 0960-0830 |
Upload Documents (eSubmit) |
2026-04-28 |
| 0960-0829 |
Vocational Resource Facilitator Demonstration (VRFD) |
2026-05-28 |
| 0960-0828 |
Enterprise Scheduling System (ESS) and National Appointment and Scheduling Calendar (NASC) |
2026-05-26 |
| 0960-0827 |
National Beneficiary Survey (Round 8) |
2022-08-17 |
| 0960-0826 |
Electronic Protective Filing Tool |
2022-08-09 |
| 0960-0825 |
Electronic Protective Filing Tool |
2022-02-28 |
| 0960-0824 |
Social Security Administration (SSA) COVID-19 Symptoms Screener for Hearings |
2022-06-14 |
| 0960-0823 |
SSA Work Disability Functional Assessment Battery (WD-FAB) Data Collection |
2021-08-11 |
| 0960-0822 |
The enhanced Leads and Applications System (eLAS) and iAppointment |
2025-02-27 |
| 0960-0821 |
Retaining Employment and Talent After Injury/Illness Network (RETAIN) demonstration |
2024-04-23 |
| 0960-0820 |
Notice to Electronic Information Exchange Partners to Provide Contractor List |
2023-09-22 |
| 0960-0819 |
Online Request for Correction of Earnings Record |
2022-07-15 |
| 0960-0818 |
Improving Customer Experience (OMB Circular A-11, Section 280 Implementation |
2023-07-13 |
| 0960-0817 |
Electronic Consent Based Social Security Number Verification |
2026-03-23 |
| 0960-0816 |
The Strengthening Protections for Social Security Beneficiaries Act of 2018, Section 103(b) Questionnaire |
2019-11-22 |
| 0960-0815 |
Ohio Direct Referral Demonstration (ODRD) |
2019-11-22 |
| 0960-0814 |
Advance Designation of Representative Payee |
2026-03-23 |
| 0960-0813 |
Removing Inability to Communicate in English as an Education Category |
2020-02-25 |
| 0960-0812 |
Tribal Council Coverage Agreement |
2022-03-22 |
| 0960-0811 |
The Department of the Treasury’s Pay.gov Collection Application for Benefit Overpayments |
2019-12-05 |
| 0960-0810 |
Fee Agreement for Representation before the Social Security Administration |
2025-11-24 |
| 0960-0809 |
Promoting Opportunity Project (POD) |
2022-02-28 |
| 0960-0808 |
myWageReport |
2020-08-04 |
| 0960-0807 |
Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers |
2025-06-27 |
| 0960-0806 |
Supported Employment Demonstration (SED) Project |
2020-05-05 |
| 0960-0805 |
Report of Adult Functioning-Employer |
2024-04-26 |
| 0960-0804 |
Rules of Conduct and Standards of Responsibility for Appointed Representatives |
2021-06-07 |
| 0960-0803 |
Statement From Excluded Medical Sources of Evidence |
2023-06-06 |
| 0960-0802 |
Data Exchange Request Form (SSA-157) |
2021-11-19 |
| 0960-0801 |
Authorization for the Social Security Administration to Obtain Personal Information |
2021-09-30 |
| 0960-0800 |
National Beneficiary Survey - NBS General Waves and Semi-Structured Interviews |
2016-09-30 |
| 0960-0799 |
Promoting Readiness of Minors in SSI (PROMISE) Evaluation - Interviews with Program Staff, and Focus Group Discussions |
2018-11-13 |
| 0960-0798 |
SSA Health IT Partner Assessment - Participating Facilities and Available Content Form, SSA-680 |
2025-04-17 |
| 0960-0797 |
Automated Scheduling Application (ASA) |
2013-01-18 |
| 0960-0796 |
Protecting the Public and Our Personnel to Ensure Operational Effectiveness (RIN 0960-AH35), Regulation 3729I |
2025-04-17 |
| 0960-0795 |
Request for Documents or Information (Form SSA-2118-U2) |
2012-03-26 |
| 0960-0794 |
Request to Show Cause for Failure to Appear |
2026-05-27 |
| 0960-0793 |
Homeless with Schizophrenia Presumptive Disability (HSPD) Pilot Demonstration |
2012-03-02 |
| 0960-0792 |
Incoming and Outgoing Intergovernmental Personnel Act (IPA) Assignment Agreement |
2023-08-24 |
| 0960-0791 |
Application for Access to SSA Systems |
2021-04-29 |
| 0960-0790 |
Screen Pop (Automated Telephone Application) |
2024-05-31 |
| 0960-0789 |
SSA's Public Credentialing and Authentication Process |
2025-05-28 |
| 0960-0788 |
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Fast Track) |
2023-10-05 |
| 0960-0786 |
Statement of Claimant or Other Person-Medical Resident FICA Refund Claims |
2011-10-12 |
| 0960-0785 |
Benefit Offset National Demonstration (BOND) Project |
2014-02-03 |
| 0960-0784 |
Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event |
2020-10-02 |
| 0960-0783 |
Waiver of Supplemental Security Income Payment Continuation |
2022-10-04 |
| 0960-0782 |
Questionnaire About Special Veterans Benefits |
2026-01-02 |
| 0960-0781 |
Reissuance of Economic Recovery Payments to Estates |
2010-07-26 |
| 0960-0780 |
Centenarian Project Development Worksheets: Face-to-Face Interview; Telephone Interview; Third Party Contact; Unable to Locate |
2026-04-29 |
| 0960-0779 |
Important Information About Your Appeal, Waiver Rights and Repayment Options |
2022-01-13 |
| 0960-0778 |
Notification of a Social Security Number (SSN) to an Employer for Wage Reporting |
2025-01-14 |
| 0960-0777 |
Request for Accommodation in Communication Method |
2022-11-04 |
| 0960-0776 |
Financial Disclosure for Civil Monetary Penalty (CMP) Debt |
2025-04-29 |
| 0960-0775 |
Use of Date of Written Statement As Filing Date (SSA-3431P; RIN 0960-AG58) |
2008-12-30 |
| 0960-0774 |
Revisions to Rules on Representation of Parties |
2008-10-08 |
| 0960-0773 |
Medicare Modernization Act Outreach Program |
2011-05-05 |
| 0960-0772 |
Request for Medical Treatment in an SSA Facility: Self-Administered or Staff Administered Care |
2020-10-07 |
| 0960-0771 |
Sheltered Workshop Wage Reporting |
2024-11-21 |
| 0960-0770 |
Social Security Statement Survey |
2008-01-18 |
| 0960-0769 |
Conducting Personal Conferences When Waiver of Recovery of a Title II or Title XVI Overpayment Cannot be Approved |
2026-04-29 |
| 0960-0768 |
Protection and Advocacy for Beneficiaries of Social Security (PABSS) |
2026-04-29 |
| 0960-0767 |
Electronic Records Express Third-Party Registration Form |
2023-11-09 |
| 0960-0766 |
Request for Proof(s) from Custodian of Records |
2020-01-13 |
| 0960-0765 |
Race & Ethnicity Collection System (RECS) Qualitative Research |
2007-10-17 |
| 0960-0764 |
Amendments to the Administrative Law Judge, Appeals Council, and Decision Review Board Appeals Levels |
2007-11-06 |
| 0960-0763 |
National 800 Number -- Claims Status |
2026-04-29 |
| 0960-0762 |
Authorization for SSA to Disclose Tax Information for Your Appeal of Your Medicare Part B Income-Related Monthly Adjustment Premium Amount, 20 CFR 418.1350 |
2007-10-23 |
| 0960-0761 |
Authorization to Release Medical Report to Physician |
2010-09-14 |
| 0960-0760 |
Consent-Based Social Security Number Verification Service (CBSV), 20 CFR 401.100 |
2025-12-17 |
| 0960-0759 |
Certificate of Election for Reduced Widow(er)’s and Surviving Divorced Spouse’s Benefits |
2022-09-02 |
| 0960-0758 |
Technical Updates to Applicability of the Supplemental Security Income (SSI) Reduced Benefit Rate for Individuals Residing in Medical Treatment Facilities. 20 CFR 416.708(mk) |
2026-04-29 |
| 0960-0757 |
Government to Government Services Online Website Registration, Government to Government Services Online Website Account Modification/Deletion Form |
2026-05-27 |
| 0960-0756 |
Timely Progress Provisions of the Ticket to Work Regulation |
2007-08-15 |
| 0960-0755 |
Request to Decision Review Board to Vacate the Administrative law Judge Dismissal of Hearing. |
2010-08-27 |
| 0960-0754 |
Cost Reimbursable Research Request |
2013-07-02 |
| 0960-0753 |
Electronic Records Express |
2020-12-08 |
| 0960-0752 |
Claimant Travel Reimbursement Request |
2010-05-20 |
| 0960-0751 |
Treating Physician Consultative Examination Interest Form |
2010-05-18 |
| 0960-0750 |
Fugitive Felon Computer Matching Agreements |
2007-05-24 |
| 0960-0749 |
Prisoner Matching Agreements |
2007-05-24 |
| 0960-0748 |
Request for Program Consultation |
2007-06-14 |
| 0960-0747 |
Accelerated Benefits Demonstration Project |
2008-12-30 |
| 0960-0746 |
Pilot Program for Participating in Administrative Law Judge Hearings By Using Privately Owned Video Teleconferencing (VTC) Equipment |
2007-03-27 |
| 0960-0745 |
Information collection requirements for Temporary Extension of Attorney Fee Payment System to Title XVI Interim Final Rules (RIN 0960-AG35) |
2010-03-11 |
| 0960-0744 |
Request for Reinstatement (Title XVI) |
2022-05-25 |
| 0960-0743 |
Methods for Conducting Personal Conferences When Waiver of Recovery of a Title II or Title XVI Overpayment Cannot Be Approved -- 20 CFR 404 506(e)(3), 404.506(f)(8) and 416.557(c)(3)& 416.557 (d)(8) |
2007-03-15 |
| 0960-0742 |
Request for Reinstatement (Title II) |
2022-01-12 |
| 0960-0741 |
Medicare Part B Income-Related Monthly Adjustment Amount |
2006-10-27 |
| 0960-0740 |
Representative Payment Policies and Administrative Procedures for Imposing Penalties for False or Misleading Statements or Withholding of Information |
2022-02-28 |
| 0960-0739 |
Certificate of Incapacity |
2019-07-22 |
| 0960-0738 |
SSA Guidance for Use of the Tax Information Authorization Form |
2007-03-30 |
| 0960-0737 |
Continuing Education Information Collection under Non-Attorney Demonstration Project. |
2006-09-14 |
| 0960-0736 |
SSA Survey of Online Services Internet Panel |
2006-10-06 |
| 0960-0735 |
Medicare Part B Income-Related Premium -- Life-Changing Event |
2010-06-29 |
| 0960-0734 |
Statement of Reclamation Action |
2018-07-04 |
| 0960-0733 |
Social Security Administration Survey of Ticket To Work Beneficiaries |
2006-08-21 |
| 0960-0732 |
Request for Appointed Representative's Direct Payment Information |
2021-11-18 |
| 0960-0731 |
Request for Business Entity Taxpayer Information |
2025-06-25 |
| 0960-0730 |
Identifying Information for Possible Direct Payment of Authorized Fees |
2019-02-25 |
| 0960-0729 |
Authorization for SSA to Obtain Account Records From a Financial Institution and Request for Records (Medicare Part D Subsidy), 20 CFR 418.3420 |
2021-08-24 |
| 0960-0728 |
Request for Review By A Federal Reviewing Official, 20 CFR 405.1, .120, .210, .215, .220, .225, .230 |
2006-06-09 |
| 0960-0727 |
Final Rules for Helping Blind and Disabled Individuals Achieve Self-Support, 20 CFR 416.110(e), 416.1181, and 416.1226 |
2006-05-22 |
| 0960-0726 |
Mental Health Treatment Study (MHTS) |
2009-06-03 |
| 0960-0725 |
Section 107 Representative Payee Study |
2006-04-19 |
| 0960-0723 |
Redetermination of Eligibility for Help with Medicare Prescription Drug Plan Costs, 20 CFR 418.3125 |
2021-03-15 |
| 0960-0722 |
Request for Evidence from Doctor or Hospital 20 CFR 404 Subpart I and 20 CFR 416 Subpart P |
2026-05-27 |
| 0960-0721 |
Request for School Records 20 CFR 416.906, 416.913, 416.946, 404 Dubpart P, Appendix 1 |
2006-03-21 |
| 0960-0720 |
Certification of Low Birth Weight for SSI Eligibility 20 CFR, 416.931, 416.926a(m)(7) and (8) and 416.924 |
2021-01-28 |
| 0960-0719 |
Application to Collect A Fee for Payee Services |
2024-06-21 |
| 0960-0718 |
Limiting Social Security Number Replacement Cards, 422.103(e), 422.110 |
2005-12-19 |
| 0960-0716 |
General Request for Social Security Records--eFOIA 20 CFR 402.130 5 USC 552(a)(3) |
2014-10-15 |
| 0960-0715 |
Monthly SSI Wage Reporting Pilot--Phase II |
2026-05-28 |
| 0960-0712 |
Denial of Title II Benefits to Fugitive Felons |
2005-09-15 |
| 0960-0711 |
National Direct Deposit Initiative, 31 CFR 210 |
2008-10-23 |
| 0960-0710 |
Request to Withdraw a Hearing Request; Request to Withdraw an Appeals Council Request for Review; and Administrative Review Process for Adjudicating Initial Disability Claims |
2022-10-19 |
| 0960-0709 |
Review of the Disability Hearing Officer's Reconsidered Determinations Before It Is Issued |
2011-06-02 |
| 0960-0708 |
Medicare Modernization Act Subsidy Application Mailing Follow-Up Survey |
2005-07-26 |
| 0960-0707 |
Medicare Subsidy Quality Review Case Analysis, 20 CFR 418(b)(5) |
2026-05-28 |
| 0960-0706 |
Help America Vote Act (HAVA) |
2026-03-23 |
| 0960-0705 |
Application for Help with Medicare Prescription Drug Plan Costs (Internet/Intranet Versions) |
2005-04-07 |
| 0960-0704 |
Homeless Outreach Project and Evaluation (HOPE) Evaluation |
2006-04-12 |
| 0960-0703 |
Application for Help with Medicare Prescription Drug Plan Costs (Subsidy Change Redeterminations) |
2005-03-29 |
| 0960-0702 |
Medicare Part D Subsidies, 20 CFR 418.3120 through 418.3670 |
2020-12-08 |
| 0960-0701 |
Epidemiological Research Request -- 20 CFR 401.165 |
2014-01-09 |
| 0960-0700 |
State Death Match Collections -- 20 CFR 404.301; 404.310-311; 404.316; 404.330-341; 404.350-352; 404.371; 416.912 |
2021-03-03 |
| 0960-0699 |
Social Security Administration Eligible Non-Attorney Representative |
2025-04-17 |
| 0960-0698 |
Request for Waiver of Special Veterans Benefits (SVB) Overpayment Recovery or Change in Repayment Rate |
2024-12-12 |
| 0960-0697 |
Early Intervention Project / Survey of Emloyment Service Providers (New Mexico, Vermont, and Wisconsin) |
2004-12-03 |
| 0960-0696 |
Application for Help with Medicare Prescription Drug Plan Costs |
2021-06-03 |
| 0960-0695 |
Appeal of Determination for Help with Medicare Prescription Drug Plan Costs |
2023-12-29 |
| 0960-0694 |
Incorporation by Reference of Oral Findings of Fact and Rationale in Wholly Favorable Written Decisions |
2026-03-23 |
| 0960-0693 |
Letter to Custodian of Birth Records, 20 CFR 404.704, 404.716, 416.802, and 422.107 |
2026-04-28 |
| 0960-0692 |
Expanded Cross-Program Recovery Regulations; 20 CFR Part 404 Subpart F & 20 CFR 416 Subpart E |
2004-09-09 |
| 0960-0691 |
Representative Payee Report - 20 CFR 404.2965 and 416.665 |
2007-02-06 |
| 0960-0690 |
Reinstatement of Entitlement to Disability Benefits, 20 CFR 404.1592c & .1592d and 416.999a & .99b |
2004-07-09 |
| 0960-0689 |
Certification of Contents of Document(s) or Record(s) |
2019-07-22 |
| 0960-0688 |
Certification of Prison Records by Prison Officials 20 CFR 422.107 |
2021-11-02 |
| 0960-0687 |
Youth Transition Process Demonstration Evaluation Collection |
2012-06-18 |
| 0960-0686 |
International Direct Deposit / 31 CFR 210 |
2026-04-28 |
| 0960-0685 |
Filing of Applications and Related Forms; 404.610, .611; 422.505 |
2004-01-09 |
| 0960-0684 |
Evidence Requirements for Assignment of SSNs/Assignment of SSNs to Foreign Academic Students |
2003-12-17 |
| 0960-0683 |
Special Benefits for Certain World War II Veterans, 20 CFR 408 Subparts G, H, I, J & L |
2006-09-27 |
| 0960-0681 |
Function Report - Adult |
2021-09-03 |
| 0960-0680 |
Medical Consultant's Review of Physical Residual Functional Capacity Assessment |
2009-09-30 |
| 0960-0679 |
Representative Payment Rgulation -- Part 404, Subpart U, Part 408 Subpart F & Part 416, Subpart F |
2021-09-10 |
| 0960-0678 |
Mental Residual Functional Capacity Assessment 20 CFR 404.1520(a), 1640, 1643, 416.920(a) |
2009-08-06 |
| 0960-0677 |
Medical Consultant's Review of Psychiatric Review Technique Form, 20 CFR 404.1520a, 1640, 1645 |
2009-12-02 |
| 0960-0676 |
Annual Earnings Test, 20 CFR 404.428(b), .429(d), .435(d)(e) and .452(a)-(e) |
2003-09-08 |
| 0960-0675 |
Medical or Psychological Consultant's Review of Childhood Disability Evaluation Form, 20 CFR 416.1040 ff. |
2009-06-10 |
| 0960-0674 |
Internet Social Security Disability Report - Child |
2003-05-16 |
| 0960-0673 |
Internet Report of Continuing Disability Interview (i454) |
2003-04-07 |
| 0960-0672 |
Monthly SSI Wage Reporting Pilot |
2003-02-27 |
| 0960-0671 |
Acknowledgement of Receipt (Notice of Hearing), Part 404, Subpart J, 404.936, .938, .950, Part 416, Subpart N |
2024-10-16 |
| 0960-0669 |
Employee Verification Service 20 CFR, 401.45 |
2006-02-01 |
| 0960-0668 |
Request for Internet Services Representatives Payee Report |
2003-07-03 |
| 0960-0667 |
Filing Claims Under the Federal Tort Claims Act 20 CFR 429.101-429.110 |
2024-07-08 |
| 0960-0666 |
Ticket to Work Program Evaluation Survey (National Beneficiary Survey) |
2009-12-10 |
| 0960-0665 |
Report of Deceased Individual's Social Security Record, 20 CFR 402.130 |
2024-11-14 |
| 0960-0664 |
20 CFR Parts 404.617 and 416.327 - Claimant Identification Pilot Project |
2003-05-06 |
| 0960-0663 |
Private Printing and Modification of Prescribed Applications and Other Forms; 20 CFR 422.527 |
2026-04-28 |
| 0960-0662 |
Medical Source Statement of Ability To Do Work-Related Activities: Physical and Mental |
2025-01-16 |
| 0960-0661 |
Voice Print Proof Concept Study |
2002-10-21 |
| 0960-0660 |
Social Security Number Verification Services (SSNVS, EVS & TNEV) |
2024-11-14 |
| 0960-0658 |
Benefits for Certain World War II Veterans, 20 CFR 408 Subparts B, C an D |
2005-12-16 |
| 0960-0657 |
Disability Hearing Officer's Decision-Title XVI Disabled Child Continuing Disability Review, 20 CFR 404.913-.914, 404.917, 416.994a, 416.1413-.1414, 416.1417 |
2006-08-16 |
| 0960-0656 |
Survey of Income and Program Participation (SIPP) for SSA Beneficiaries |
2004-11-03 |
| 0960-0654 |
20 CFR Parts 404 Subpart P & 416 Subpart 1 404.1512, 404.1545, 404.1560, 416.912, 416.945 & 416.960 |
2003-09-08 |
| 0960-0653 |
Collection of SSI Overpayments from Special Benefits for Certain WWII Veterans, 20 CFR 416.572 |
2003-09-08 |
| 0960-0651 |
SSA/Pay.Gov Data Collection--TEST/(Online Authetication Form) |
2002-05-28 |
| 0960-0650 |
Internet Social Security Disability Report (ISSDR) |
2004-02-17 |
| 0960-0649 |
Access to Information Held by Financial Institutions 20 CFR Part 416 |
2003-09-29 |
| 0960-0648 |
Credit Card Payment Form |
2021-11-19 |
| 0960-0646 |
Teacher Questionnaire; Request for Administrative Information; 20 CFR 416.924a, 20 CFR 404.1520 |
2020-12-09 |
| 0960-0644 |
The Ticket to Work and Self-Sufficiency Program, 20 CFR 411.160-.730 |
2024-04-08 |
| 0960-0643 |
Statement for Determining Continuing Eligibility for Supplemental Security Income Payments--Adult / Statement for Determining Continuing Eligibility for Supplemental Security Income Payments |
2007-08-03 |
| 0960-0642 |
Listing of Impairments; 404, Subpart P, Appendix 1 20 CFR 404.1512-404.1515 and 416.912-416.915 |
2008-03-21 |
| 0960-0641 |
State Agency Ticket Assignment Form Ticket to Work and Self Sufficiency Program |
2005-06-30 |
| 0960-0639 |
Contact with Rep Payee, Contact with Beneficiary |
2004-12-28 |
| 0960-0637 |
Quiz Show-Internet Edition |
2001-06-28 |
| 0960-0635 |
Function Report - Adult Third Party, 20 CFR 404.1512 and 416.912 |
2021-11-01 |
| 0960-0634 |
Internet Direct Deposit Application, 31 CFR 210 |
2022-06-01 |
| 0960-0633 |
Site Review Questionnaires for Volume and Fee-for-Service Payees and Beneficiary Interview Form |
2022-01-12 |
| 0960-0632 |
Request for Internet/Electronic Services--Password Authentication |
2012-09-14 |
| 0960-0630 |
Beneficiary Interview and Auditor's Observations |
2016-03-02 |
| 0960-0629 |
Work Incentives Planning and Assistance (WIPA) |
2022-06-02 |
| 0960-0628 |
Survey of Low-Income and Disabled Kids (SOLID KIDS) |
2000-09-28 |
| 0960-0627 |
Employment Support Representative Position (ESR): Survey of Beneficiaries and Community Organizations |
2000-09-25 |
| 0960-0626 |
Integration Registration Services (IRES) System, 20 CFR 401.45 |
2025-02-24 |
| 0960-0625 |
Electronic Death Registration Survey |
2002-02-05 |
| 0960-0624 |
Medical Permit Parking Application |
2020-11-04 |
| 0960-0623 |
Authorization to Source to Release Information to the Social Security Administration |
2021-03-02 |
| 0960-0622 |
Request for Reconsideration 20 CFR 404.907-404.921, 408.1009, 416.1407-416.1421 |
2025-03-19 |
| 0960-0621 |
Representative Payee Report-Special Veterans Benefits, 20 CFR 408.665 |
2018-07-26 |
| 0960-0620 |
Advance Notice of Termination of Child's Benefits, and Student's Statement Regarding School Attendance |
2000-06-16 |
| 0960-0619 |
Testimony by Employees and the Production of Records and Information in Legal Proceedings |
2024-10-24 |
| 0960-0618 |
Social Security Benefits Application (Internet, Retirement Survivor & Disability) - Part 404 Subpart D, G & P |
2025-03-18 |
| 0960-0617 |
SSI Ineligibility for Fugitives and Probation/Parole Violators; 20 CFR 416.708(o) |
2024-10-24 |
| 0960-0616 |
Uniform Administrative Requirements for Grants and Agreements With Institutions of Higher Learning, Hospitals and Others |
2009-10-29 |
| 0960-0615 |
Application for Special Benefits for World War II Veterans--20 CFR, Subpart C, 408 |
2015-07-01 |
| 0960-0614 |
Worker's Compensation Letter; Worker's Compensation Questionnaire |
1999-12-27 |
| 0960-0613 |
Referral System for Vocational Rehabilitation Providers (RSVP) |
2001-09-24 |
| 0960-0612 |
Survey of Adults to Determine Public Understanding of the Social Security Programs. |
2005-05-20 |
| 0960-0611 |
Social Security Card Fee Survey |
1999-09-22 |
| 0960-0610 |
State Partnership Initiative Demonstration Project |
2003-02-27 |
| 0960-0609 |
National Study of Health and Activity (NSHA) |
2001-11-28 |
| 0960-0608 |
Request for Claimant Conference |
2001-07-05 |
| 0960-0607 |
Request for Information |
1999-08-11 |
| 0960-0606 |
Annual Registration Statement Identifying Separated Participants with Deferred Vested Benefits (Schedule SSA) |
2007-08-23 |
| 0960-0605 |
Organization Profile |
1999-09-23 |
| 0960-0604 |
Symptoms Report |
1999-03-26 |
| 0960-0603 |
Function Report: Adult Function Report, Third Party |
2001-06-28 |
| 0960-0602 |
Authorization to Obtain Earnings Data from the Social Security Administration, 26 USC 6103 |
2026-05-28 |
| 0960-0601 |
Qualified Medicare Beneficiary Demonstration Project |
2000-03-23 |
| 0960-0600 |
SSA Concise Notice Format Survey |
1998-12-07 |
| 0960-0599 |
Supplemental Security Income (SSI) Redetermination by Mail |
1998-11-23 |
| 0960-0598 |
Work Activity Report (Self-Employment) |
2026-01-08 |
| 0960-0597 |
Manchaca Ruling Compliance Survey |
1998-10-09 |
| 0960-0596 |
Request for Internet Services-Authentication; Automated Telephone Speech Technology-Authentication 20 CFR 401-45 |
2024-10-24 |
| 0960-0595 |
Electronic Benefit Verification Information (BEVE) |
2012-01-31 |
| 0960-0594 |
Survey of Adults to Determine Public Understanding of Social Security Programs |
1998-06-24 |
| 0960-0592 |
Telephone Survey of SSA Title II Widow(er) Beneficiaries Over the Age 70 |
1998-06-04 |
| 0960-0591 |
Social Security Non-Applicant, Applicant, and Advisor Surveys |
1998-05-18 |
| 0960-0589 |
Nursing Home Reporting Requirements Related to Supplemental Security Income Recipients |
1998-05-07 |
| 0960-0588 |
Payee Interview; Beneficiary Interview; Custodian Interview |
1999-12-23 |
| 0960-0586 |
Focus Group Testing of Public Understanding of Social Security |
1998-03-11 |
| 0960-0585 |
Discrimination Complaint Form |
2026-04-28 |
| 0960-0584 |
Survey of Predecision Interview Nonresponders |
1997-12-19 |
| 0960-0583 |
Request for Replacement SSA-1099/SSA-1042S Social Security Benefits Statement |
2025-04-17 |
| 0960-0582 |
Benefit Continuation Survey |
1997-09-19 |
| 0960-0581 |
Application of Circuit Court Law -- 20 CFR 404.985(b) and 20 CFR 416.1485(b) |
2021-09-30 |
| 0960-0580 |
Social Security Tax and Benefits Statement Survey |
1997-09-03 |
| 0960-0579 |
Social Security Disability Report |
2026-03-23 |
| 0960-0578 |
Work History Report |
2026-03-23 |
| 0960-0577 |
Medical History and Disability Report, Disabled Child |
2026-02-23 |
| 0960-0576 |
Representative Payee Report of Benefits and Dedicated Account, 20 CFR 416.546 & 640, and 20 CFR 416.635 & 665 |
2024-12-16 |
| 0960-0575 |
Request to Resolve Questionnaire Quarters of Coverage (QC); Request for QC History Based on Relationship |
2007-02-26 |
| 0960-0574 |
Medical History and Disability Report, Disabled Child |
1998-10-01 |
| 0960-0573 |
Disability Report |
1998-10-01 |
| 0960-0572 |
Vocational Report |
1998-10-01 |
| 0960-0570 |
Telephone SSN Replacement Card Test Pilot |
1998-04-01 |
| 0960-0569 |
Personal Earnings and Benefits Estimate Statement (PEBES), Internet Identity Evaluation |
1997-04-01 |
| 0960-0568 |
Childhood Disability Evaluation Form 20 CFR 416.924(g) |
2006-09-21 |
| 0960-0567 |
Consent for Release of Information |
2000-08-29 |
| 0960-0566 |
Privacy and Disclosure of Official Records and Information; Availability of Information and Records to the Public; 20-CFR 401 & 402 |
2026-02-13 |
| 0960-0565 |
Employer Report of Special Wage Payments, 20 CFR 404.428-404.429 |
2026-04-28 |
| 0960-0564 |
QuickStart Enrollment Process -- 31 CFR 210 |
2006-08-07 |
| 0960-0563 |
Supplemental Security Income Notice of Interim Reimbursement |
1998-09-30 |
| 0960-0562 |
Survey of Employers Regarding a Satellite Broadcast |
1996-07-19 |
| 0960-0561 |
Modified Benefit Formula Questionnaire-Foreign Pension |
2025-06-27 |
| 0960-0560 |
Videoconference Evaluation Recontact Survey |
1997-08-27 |
| 0960-0559 |
Plan to Achieve Self-Support 20 CFR 416.110(e), 416.1180-416.1182, 416.1225-416.1227 |
2022-11-01 |
| 0960-0558 |
Follow-up Survey for the Project Network Evaluation |
1998-09-30 |
| 0960-0557 |
Inquiry to File an SSI Child's Application; 20 CFR 416.345 |
2002-10-10 |
| 0960-0556 |
Annual Registration Statement Identifying Separated Participants with Deferred Vested Benefits |
2000-08-29 |
| 0960-0555 |
Generic Clearance of Information Collections Conducted by State Disability Determinations Services on Behalf of SSA |
2026-04-29 |
| 0960-0554 |
Certificate of Coverage Request |
2026-02-24 |
| 0960-0553 |
Payment Cycling Impact Survey |
1995-06-07 |
| 0960-0552 |
Work History Report |
1998-02-11 |
| 0960-0551 |
Measuring Public Perception of the Value of Social Security |
1995-04-27 |
| 0960-0550 |
SSI PE RETURNED CHECK QUESTIONNAIRE |
1995-02-16 |
| 0960-0549 |
REQUEST TO HAVE SUPPLEMENTAL SECURITY INCOME OVERPAYMENTS WITHHELD FROM MY SOCIAL SECURITY BENEFITS |
2001-05-31 |
| 0960-0548 |
Drug Addiction and Alcoholism Referral and Monitoring Agency Treatment Requirements Acknowledgement, Drug Addiction and Alcoholism Referral Monitoring Agency Assessment/Referral and... |
1995-01-25 |
| 0960-0547 |
Wage Reports and Pension Information, 20 CFR 422.122(b) |
2022-06-03 |
| 0960-0546 |
Supplemental Security Income Notice of Interim Reimbursement |
2020-10-06 |
| 0960-0544 |
PUBLIC SERVICE ANNOUNCEMENTS |
2020-10-20 |
| 0960-0543 |
Work Reintegration Study |
1999-09-23 |
| 0960-0542 |
REPORT OF FUNCTION, CHILD - BIRTH UP TO 1ST BIRTHDAY, AGE 1 TO 3RD BIRTHDAY, 3RD TO 6TH BIRTHDAY, 6TH TO 12TH BIRTHDAY, 12TH TO 18TH BIRTHDAY |
2024-12-13 |
| 0960-0541 |
SUPPLEMENTAL SECURITY INCOME REPLY FORM |
1994-10-07 |
| 0960-0540 |
Pain Report-Child |
2022-02-25 |
| 0960-0539 |
Report of Function, Adult |
1995-04-24 |
| 0960-0538 |
STUDY PLANS FOR ACHIEVING SELF SUPPORT |
1994-10-03 |
| 0960-0536 |
Beneficiary Recontact Report 20 CFR 404.703 and .705 |
2010-10-15 |
| 0960-0535 |
RACE/ETHNIC QUESTIONNAIRE, CUSTOMER OPINION SURVEY |
1994-09-12 |
| 0960-0534 |
Waiver of Right to Appear--Disability Hearing |
2024-12-20 |
| 0960-0533 |
WAIVER OF BENEFIT PAYMENTS |
2000-06-12 |
| 0960-0531 |
Social Security Request for Information |
1998-09-02 |
| 0960-0530 |
ANNUAL EARNINGS STUFFER QUESTIONNAIRE |
1994-05-31 |
| 0960-0529 |
Claimant's Statement About Loan of Food or Shelter, Statement About Food or Shelter Provided to Another |
2024-10-17 |
| 0960-0528 |
STUDY ON THE USE OF THE SSA-4122 |
1994-03-31 |
| 0960-0527 |
Appointment of Representative - 20 CFR 404 Subpart R, 410 Subpart F and 416 Subpart O |
2022-05-25 |
| 0960-0526 |
VOLUNTARY CUSTOMER SURVEYS TO IMPLEMENT E.O. 12862 WITHIN THE SOCIAL SECURITY ADMINISTRATION |
2025-03-19 |
| 0960-0525 |
Request for Social Security Information |
2020-12-08 |
| 0960-0524 |
FOCUS GROUP TESTING OF SSA'S SERVICE DELIVERY AND REENGINEERING OF THE DISABILITY PROCESS |
1993-10-01 |
| 0960-0523 |
PERIODIC WAGE REPORT (MONTHLY), SSA-425 PERIODIC WAGE REPORT (BIMONTHLY), SSA-426 PERIODIC WAGE REPORT (QUARTERLY), SSA-427 |
1993-09-10 |
| 0960-0522 |
FINAL REGULATION CONCERNING THE COAL ACT OF 1992 |
1993-08-26 |
| 0960-0521 |
SERVICE DELIVERY QUESTIONNAIRES (ENUMERATIONS, INITIAL DENIALS, DISALLOWANCES, INITIAL AWARDS, REDETERMINATIONS) |
1996-09-04 |
| 0960-0520 |
800 NUMBER AFTERHOURS CALLER SURVEY |
1993-07-15 |
| 0960-0519 |
SSI PRERELEASE SURVEY QUESTIONNAIRE |
1993-07-12 |
| 0960-0518 |
SUPPLEMENTAL SECURITY INCOME NO CHANGE REDETERMINATION STUDY |
1993-05-18 |
| 0960-0517 |
State Report of Incorrect Bendex Information |
1999-08-11 |
| 0960-0516 |
PROPOSED REGULATION REGARDING CONTINUATION OF FULL BENEFIT STANDARD FOR PERSONS INSTITUTIONALIZED |
2021-09-30 |
| 0960-0515 |
ENUMERATION IDENTIFY REVIEW DATA COLLECTION FORM |
1993-04-09 |
| 0960-0514 |
QUESTIONNAIRE TO DETERMINE THE STATUS OF AUTOMATION IN THE STATE DDSS |
1993-03-17 |
| 0960-0513 |
GRADUATING TO INDEPENDENCE EVALUATION FORMS |
1993-03-17 |
| 0960-0512 |
QUESTIONNAIRE ON STATUS OF DDS AUTOMATION (CONCEPT CLEARANCE) |
1992-12-01 |
| 0960-0511 |
Disability Update Report 20 CFR 404.1589-404.1595; 20 CFR 416.988-416.996 |
2026-03-23 |
| 0960-0510 |
PROJECT NETWORK BASELINE SURVEY |
1992-10-14 |
| 0960-0509 |
RECEIPT DEMONSTRATION PROJECT -- CALLER RECONTACT SURVEY |
1992-05-13 |
| 0960-0508 |
SSA-L2765, Request for Self-Employment Information, SSA-L3365, Request for Employee Information, SSA-L4002, Request for Employer Information |
2024-11-27 |
| 0960-0507 |
Disability Hearing Officer's Report of Disability Hearing (DC), 20 CFR 416.1407 |
2007-12-17 |
| 0960-0506 |
STUDY OF REASONS FOR DISABILITY FILINGS |
1993-11-18 |
| 0960-0505 |
Employer Verification or Records for Children under Age 7 |
2026-04-27 |
| 0960-0504 |
MEDICAL HISTORY AND DISABILITY REPORT - WIDOW, WIDOWER, SURVIVING DIVORCED WIFE OR DISABLED CHILD |
1998-01-26 |
| 0960-0503 |
PHYSICIAN'S REPORT ON ADULT/CHILD WITH ALLEGATION OF HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION |
1993-05-19 |
| 0960-0502 |
Beneficiary Recontact Report, 20 CFR 404.703 and 404.705 |
2024-10-24 |
| 0960-0501 |
Blood Donor Locator Service--Regulation 20 CFR 401.200 |
2012-10-31 |
| 0960-0500 |
STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS |
2026-04-28 |
| 0960-0499 |
Questionnaire for Children Claiming SSI Benefits |
2024-12-16 |
| 0960-0498 |
COMPENSATION FOR QUALIFIED ORGANIZATIONS SERVING AS REPRESENTATIVE PAYEE |
1991-08-07 |
| 0960-0496 |
UNSUCCESSFUL CALLERS TO THE 800 NUMBER |
1991-07-01 |
| 0960-0495 |
DIRECT DEPOSIT QUESTIONNAIRE |
1991-05-17 |
| 0960-0494 |
SSI APPLICANT SURVEY |
1991-04-22 |
| 0960-0493 |
REPRESENTATIVE PAYEE QUESTIONNAIRE (INDIVIDUAL) AND REPRESENTATIVE PAYEE QUESTIONNAIRE (INSTITUTION) |
1994-06-07 |
| 0960-0492 |
Request for Supplemental Security Income Benefit Estimate |
2001-05-04 |
| 0960-0491 |
SERVICE DELIVERY QUESTIONNAIRES (INITIAL AWARDS, REDETERMINATIONS) |
1990-11-13 |
| 0960-0490 |
SSI OUTREACH QUESTIONNAIRE |
1991-06-25 |
| 0960-0489 |
VOCATIONAL REPORT - VOCATIONAL REPORT - SUPPLEMENT |
1991-06-25 |
| 0960-0488 |
QUESTIONNAIRES FOR TEST 5 OF THE PERSONAL EARNINGS AND BENEFIT ESTIMATE STATEMENT PROJECT |
1991-06-25 |
| 0960-0487 |
Self-Employment/Corporate Officer Questionnaire 20 CFR 404.435(e), 404.446 |
2009-06-19 |
| 0960-0486 |
DIRECT DEPOSIT COST-OF-LIVING NOTICE TELEPHONE QUESTIONNAIRE |
1989-12-29 |
| 0960-0484 |
SSA-INITIATED PERSONAL EARNINGS AND BENEFIT ESTIMATE STATEMENT, PUBLIC OPINION QUESTIONNAIRE (FOLLOWUP) |
1994-09-12 |
| 0960-0483 |
Employee Work Activity Report |
2024-03-14 |
| 0960-0482 |
PEBES 800 SERVICE EVALUATION CALLER RECONTACT GUIDE |
1989-09-05 |
| 0960-0481 |
Statement of Funds You Provided to Another, Statement of Funds You Received 20 CFR 416.1103(f) |
2024-10-23 |
| 0960-0480 |
ENUMERATION INTERVIEW GUIDE |
1989-07-17 |
| 0960-0479 |
PAIN INSTRUMENT DEVELOPMENT STUDIES |
1991-07-17 |
| 0960-0478 |
NEW BENEFICIARY FOLLOWUP SURVEY |
1990-06-13 |
| 0960-0477 |
Modified Benefits Formula Questionnaire, Employer |
2020-08-07 |
| 0960-0476 |
SSA-INITIATED PERSONAL EARNINGS AND BENEFIT ESTIMATE STATEMENT QUESTIONNAIRIES |
1991-09-23 |
| 0960-0475 |
SSA AUTOMATED SOLICITATION MAILING LIST APPLICATION FOR BUILDING MAINTENANCE |
1997-08-27 |
| 0960-0474 |
Child-Care Dropout Questionnaire 20 CFR 404.211(e)(4) |
2024-04-30 |
| 0960-0473 |
Employee Identification Statement, 404.702 |
2020-10-06 |
| 0960-0472 |
SOCIAL SECURITY REQUEST FOR EMPLOYMENT INFORMATION |
2022-09-01 |
| 0960-0471 |
Real Property Current Market Value Estimate |
2022-09-01 |
| 0960-0470 |
Agency/Employer Questionnaire |
2022-10-03 |
| 0960-0469 |
MEDICAL COST DATA |
1991-11-21 |
| 0960-0468 |
PERSONNEL COSTS |
1991-11-21 |
| 0960-0467 |
PROCESSED WORKLOADS |
1991-11-21 |
| 0960-0466 |
Request for Social Security Statement |
2026-04-29 |
| 0960-0465 |
800 SERVICE EVALUATIONS, CALLER RECONTACT SURVEY NO. 1, CALLER TALKER TO A TSR, CALLER RECONTACT SURVEY NO. 2, CALLER USED AUTOMATED MESSAGE, CALLER HUNG UP IN QUEUE |
1993-12-15 |
| 0960-0464 |
TRANSITIONAL EMPLOYMENT REINTERVIEW PROJECT |
1988-04-22 |
| 0960-0463 |
DISABILITY RETURN TO WORK MAILER |
1988-03-24 |
| 0960-0462 |
YOU CAN MAKE YOUR PAYMENTS BY CREDIT CARDS |
2021-05-06 |
| 0960-0461 |
JOINT CHECKING/SAVINGS ACCOUNT REBUTTAL STATEMENT |
2022-09-02 |
| 0960-0460 |
Marital Relationship Questionnaire, 20 CFR 416.1826 |
2020-08-28 |
| 0960-0458 |
ACTIVITIES OF DAILY LIVING AND SOCIALIZATION |
1987-08-24 |
| 0960-0457 |
DISABILITY REPORT AND VOCATIONAL REPORT |
1987-08-24 |
| 0960-0456 |
Statement of Household Expenses and Contributions; 20 CFR 416.1130-.1148 |
2024-10-17 |
| 0960-0455 |
FIELD OFFICE POSTADJUDICATIVE STUDY BENEFICIARY CONTACTS |
1987-05-05 |
| 0960-0454 |
Letter to Landlord Requesting Rental Information 20 CFR 416.1130(b) |
2024-10-18 |
| 0960-0452 |
FIELD TEST OF REVISED SOCIAL SECURITY ADMINISTRATION NOTICES |
1987-01-21 |
| 0960-0451 |
Permanent Residence Under Color of Law - 20 CFR, Subpart P, 416.1615 and .1618 |
2025-04-17 |
| 0960-0450 |
REQUEST FOR STATEMENT OF EARNINGS - TEST AND EVALUATION |
1986-12-10 |
| 0960-0449 |
EARNINGS STATEMENT INTERVIEW GUIDE |
1986-11-07 |
| 0960-0448 |
Application for Benefits Under a U.S. International Social Security Agreement 20 CFR 404.1925 |
2020-10-06 |
| 0960-0446 |
NPRM-INFORMATION COLLECTION REQUIREMENTS CONTAINED IN REGULATIONS 45 CFR PART 96 (LIHEAP BLOCK GRANT PROGRAMS) |
1986-08-21 |
| 0960-0445 |
Application for Benefits, Italy-U.S.A. Agreement on Social Security |
2022-10-03 |
| 0960-0444 |
Application for Supplemental Security Income 20 CFR 416.305-416.335 |
2026-05-28 |
| 0960-0443 |
Cessation or Continuance of Disability or Blindness Determination and Transmittal-Title XVI, 20 CFR |
2008-02-25 |
| 0960-0442 |
Cessation or Continuance of Disability or Blindness Determination and Transmittal -- Title II |
2008-04-24 |
| 0960-0441 |
Disability Hearing Officer's Decision 20 CFR Sections 404.917 and 416.1417 |
2007-03-26 |
| 0960-0440 |
Disability Hearing Officer's Report on Disability Hearing |
2007-10-28 |
| 0960-0438 |
EXPLANATION OF DETERMINATION |
1989-04-24 |
| 0960-0437 |
Disability Determination and Transmittal 20 CFR 404.1615(e) and 416.1015(f) |
2008-02-19 |
| 0960-0434 |
Travel Expense Reimbursement, 20 CFR 404.999(d) and 416.1499 |
2025-04-17 |
| 0960-0433 |
FINAL RULE - STATE INCOME AND ELIGIBILITY VERIFICATION SYSTEM |
1986-02-28 |
| 0960-0432 |
MISSING AND DISCREPANT WAGE REPORTS LETTER AND QUESTIONNAIRES |
2025-09-02 |
| 0960-0431 |
RESIDUAL FUNCTIONAL CAPACITY ASSESSMENT MENTAL RESIDUAL FUNCTIONAL CAPACITY ASSESSMENT |
2007-02-15 |
| 0960-0430 |
Summary of Evidence, 20 CFR 404.913(b), 404.914(a), 416.1407, 416.1413(b), and 416.1414(a) |
2007-06-15 |
| 0960-0429 |
Notification of Projected Completion Date |
1998-05-14 |
| 0960-0428 |
Subpoena-Disability Hearing |
2007-06-15 |
| 0960-0427 |
TIME REPORT OF PERSONNEL SERVICES FOR DISABILITY HEARINGS UNIT |
1986-04-16 |
| 0960-0425 |
FINAL REGULATION ON COVERAGE OF EMPLOYEES OF STATE AND LOCAL GOVERNMENTS |
2025-03-13 |
| 0960-0422 |
STATE AGENCY BUDGET REQUEST FOR SSA DISABILITY PROGRAM |
1991-10-18 |
| 0960-0421 |
State Agency Report of obligations for SSA Disability Programs and Addendum; Time Report of Personnel Services for Disability Determination Services; Schedule of Equipment Purchased for SSA.. |
2007-06-14 |
| 0960-0420 |
FINAL REGULATIONS ON MEDICAL SUPPORT ENFORCEMENT |
1985-10-15 |
| 0960-0418 |
RECORDKEEPING FOR THE REFUGEE PROGRAM AND REPORTING REQUIREMENTS |
1986-08-03 |
| 0960-0416 |
Statement for Determining Continuing Eligibility, Supplemental Security Income Payments |
2022-10-19 |
| 0960-0415 |
ACKNOWLEDGMENT OF OFFER OF INTERVIEW |
1985-09-06 |
| 0960-0414 |
RSI HEALTH INSURANCE INFORMATION REQUEST |
1985-09-03 |
| 0960-0413 |
PSYCHIATRIC REVIEW TECHNIQUES |
2006-08-08 |
| 0960-0412 |
ELECTRONIC WAGE REPORTING QUESTIONNAIRE |
1985-08-14 |
| 0960-0411 |
SURVEY OF ABSENT PARENTS |
1985-08-08 |
| 0960-0410 |
OFFICE OF CHILD SUPPORT ENFORCEMENT FINANCIAL/STATISTICAL REPORT |
1986-08-11 |
| 0960-0409 |
1985 SSI SURVEY ON CONTINUING MEDICAID ELIGIBILITY FOR SELECTED GROUPS OF RECIPIENTS |
1985-06-03 |
| 0960-0408 |
TIME REPORT OF PERSONNEL SERVICES FOR DISABILITY PROGRAMS |
2001-09-24 |
| 0960-0406 |
State Agency Schedule for Equipment Purchases for SSA Disability Programs |
2001-09-24 |
| 0960-0405 |
NATIONAL REFERENCE CENTER USER SURVEY |
1985-05-17 |
| 0960-0404 |
STATE AGENCY BUDGET LIST OF FULL-TIME POSITIONS FOR SSA DISABILITY PROGRAMS |
1994-07-14 |
| 0960-0403 |
STATE AGENCY BUDGET LIST OF PART-TIME AND TEMPORARY POSITIONS FOR DISABILITY PROGRAMS |
1991-02-07 |
| 0960-0402 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN THE REGULATION ON SERVICES TO NON-AFDC INDIVIDUALS AND RELATED STATE PLAN AMENDMENT, 45 CFR 302 |
1985-04-23 |
| 0960-0401 |
TAXATION OF BENEFITS QUESTIONNAIRE |
1985-05-10 |
| 0960-0400 |
CLAIMS MODERNIZATION PROJECT INTEGRITY REVIEW |
1985-03-22 |
| 0960-0398 |
Certification of Elections for Reduced Spouse's Benefits 20 CFR 404.421 |
2021-09-10 |
| 0960-0396 |
ENUMERATION VALIDATION STUDY INTERVIEW GUIDE |
1985-03-13 |
| 0960-0395 |
Modified Benefits Formula Questionnaire |
2025-03-14 |
| 0960-0394 |
45 CFR 303.10(B)(1) OF THE FINAL RULE ON PROCEDURES FOR CASE ASSESSMENT AND PRIORITIZATION |
1985-03-13 |
| 0960-0393 |
SSA CONTRACTOR REPORT FORMS |
1985-08-15 |
| 0960-0392 |
WINTER 1984-1985 PRIVATE SECTOR ENERGY ASSISTANCE TELEPHONE SURVEY |
1985-03-06 |
| 0960-0391 |
MISSING AND DISCREPANT WAGE REPORTS STUDY QUESTIONNAIRES |
1985-02-25 |
| 0960-0390 |
COST-EFFECTIVENESS OF USING CREDIT REPORTS IN DETERMINING ELIGIBILITY AND PAYMENT FOR USE IN THE AID TO FAMILIES WITH DEPENDENT CHILDREN PROGRAM |
1985-01-10 |
| 0960-0389 |
1986 SURVEY OF AGED OR DISABLED INDIVIDUALS |
1986-03-26 |
| 0960-0388 |
REPORT ON AFDC ASSISTANCE UNITS RECEIVING EXCLUDABLE SUPPORT AND MAINTENANCE ASSISTANCE AND HOME ENERGY ASSISTANCE |
1984-12-27 |
| 0960-0387 |
TRANSITIONAL EMPLOYMENT TRAINING DEMONSTRATION DATA (CONCEPTUAL CLEARANCE) |
1986-03-28 |
| 0960-0386 |
ANNUAL EARNINGS TEST DIRECT MAIL FOLLOWUP PROGRAM EVALUATION QUESTIONNAIRE |
1984-10-10 |
| 0960-0385 |
NOTICE OF PROPOSED RULEMAKING - 45 CFR PARTS 301-305 AND 307 |
1986-02-11 |
| 0960-0384 |
SSA/DDS Cost-Effectiveness Measurement System Data Reporting Form |
2000-08-10 |
| 0960-0383 |
MEDIC DATA COLLECTION FORM |
1989-08-25 |
| 0960-0382 |
SSI OUTREACH MAIL SURVEY |
1984-09-14 |
| 0960-0381 |
REPRESENTATIVE PAYEE CUSTODY REPORT (CONDITIONAL APPROVAL) |
1986-10-29 |
| 0960-0380 |
FOREIGN VALIDATION STUDY REPORT |
1986-05-01 |
| 0960-0376 |
PRIVATE SECTOR ENERGY ASSISTANCE SURVEY |
1984-05-29 |
| 0960-0375 |
WAGE AND TAX STATEMENT -- W-2 TRANSMITTAL OF INCOME AND TAX STATEMENTS - W-3 |
1986-09-30 |
| 0960-0374 |
SYSTEM STATUS REPORT |
1985-11-01 |
| 0960-0373 |
QUARTERLY STATEMENT OF FAMIS EXPENDITURES (FAMILY ASSISTANCE MANAGEMENT INFORMATION SYSTEM) |
1986-06-25 |
| 0960-0372 |
DECLARATION OF CITIZENSHIP BY SOCIAL SECURITY BENEFICIARY OUTSIDE THE UNITED STATES |
1984-05-03 |
| 0960-0371 |
Application for U.S. Benefits Under the Canada-U.S. International Social Security Agreement |
2002-02-11 |
| 0960-0370 |
QUARTERLY CONSULTATIONS ON REFUGEE PLACEMENT |
1984-04-17 |
| 0960-0369 |
Mid-Year Mailer |
2020-12-08 |
| 0960-0368 |
STATEMENT BY BLACK LUNG BENEFICIARY REGARDING REPORTABLE EVENTS |
1984-03-05 |
| 0960-0367 |
REPORT TO SOCIAL SECURITY ADMINISTRATION ABOUT WORKERS' COMPENSATION |
1989-03-31 |
| 0960-0366 |
INTENSIVE CASE MANAGEMENT FOR DRUG ADDICTS AND ALCOHOLICS (SSI) (RESIDENTIAL/NONRESIDENTIAL QUESTIONNAIRE) |
1984-01-17 |
| 0960-0365 |
APRIL 1984 CURRENT POPULATION SURVEY, CHILD SUPPORT AND ALIMONY SUPPLEMENT |
1985-11-04 |
| 0960-0363 |
INFORMATION EXCHANGE BETWEEN STATE IV-D AND STATE MEDICAID AGENCIES -- NPRM |
1984-01-03 |
| 0960-0361 |
STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS SSA-8203 |
1984-08-02 |
| 0960-0360 |
RECORDKEEPING FOR THE REFUGEE PROGRAM |
1983-12-02 |
| 0960-0359 |
PROGRAM REPORTING FOR MAA INCENTIVE GRANTS |
1983-11-21 |
| 0960-0358 |
INFORMATION ABOUT AMERICANS MISSING IN SOUTHEAST ASIA |
1983-11-14 |
| 0960-0357 |
REQUEST FOR A CERTIFICATE OF COVERAGE |
1983-11-07 |
| 0960-0356 |
APPLICATION FOR BENEFITS UNDER THE NORWAY - U.S. INTERNATIONAL SOCIAL SECURITY AGREEMENT |
1983-11-07 |
| 0960-0355 |
APPLICATION FOR BENEFITS UNDER THE BELGIUM - U.S. INTERNATIONAL SOCIAL SECURITY AGREEMENT |
1986-08-26 |
| 0960-0354 |
BENEFICIARY RECONTACT REPORT |
1986-08-21 |
| 0960-0352 |
WAIVER OF RIGHT TO APPEAR - DISABILITY HEARING |
1987-09-01 |
| 0960-0351 |
Notice Regarding Substitution of Party Upon Death of Claimant; Reconsideration of Disability Cessation |
2022-05-25 |
| 0960-0350 |
Reconsideration Report for Disability Cessation |
2001-04-11 |
| 0960-0349 |
Request for Reconsideration--Disability Cessation--20 CFR, Subpart J. 404.409 & Sunpart N, 416.1409 |
2025-04-30 |
| 0960-0348 |
Request for Change in Time/Place of Disability Hearing, 20 CFR 404.914(c)(2) and 416.1414(c)(2) |
2024-10-02 |
| 0960-0347 |
Response to Notice of Revised Determination 20 CFR 404.913-.914, 404.992(b), 416.1413, 416.1492(d) |
2024-04-22 |
| 0960-0346 |
HEALTH AND EMPLOYMENT SURVEY |
1983-08-08 |
| 0960-0344 |
MAINTENANCE OF INFORMATION REQUIREMENTS FOR A COMPUTERIZED CHILD SUPPORT ENFORCEMENT SYSTEM |
1986-08-01 |
| 0960-0343 |
ADVANCE PLANNING DOCUMENT FOR A COMPUTERIZED CHILD SUPPORT ENFORCEMENT SYSTEM |
1986-08-01 |
| 0960-0341 |
Request for Address Information: from Motor Vehicles Records; from Employment Commissions Records |
2005-03-24 |
| 0960-0340 |
THIRD PARTY QUERY INPUT CARD |
1986-07-24 |
| 0960-0339 |
REFUGEE ASSISTANCE-BY-NATIONALITY REPORT |
1986-01-28 |
| 0960-0338 |
DECLARATION OF CITIZENSHIP BY SOCIAL SECURITY BENEFICIARY OUTSIDE THE UNITED STATES |
1983-06-06 |
| 0960-0336 |
REFUGEE STATE-OF-ORIGIN REPORT |
1986-01-28 |
| 0960-0335 |
STATEMENT OF LIVING ARRANGEMENTS, IN-KIND SUPPORT AND MAINTENANCE |
1983-04-27 |
| 0960-0334 |
REPORTING REQUIREMENTS FOR TARGETED ASSISTANCE GRANTS FOR SERVICES FOR REFUGEES IN LOCAL AREAS OF HIGH NEED |
1985-08-15 |
| 0960-0333 |
REGULATIONS TITLE 45, PART 201 - REGULATIONS REGARDING ADJUSTMENT OF FEDERAL SHARE FOR UNCASHED OR CANCELLED CHECKS |
1986-04-01 |
| 0960-0332 |
WAIVER STUDY - FIELD REVIEW WORKSHEET |
1983-02-10 |
| 0960-0331 |
REFERRAL AND TREATMENT STATUS OF SSI DRUG ADDICTS OR ALCOHOLICS |
1994-02-02 |
| 0960-0330 |
WINTER STATE SURVEY OF LOW-INCOME HOME ENERGY ASSISTANCE PROGRAM |
1986-04-29 |
| 0960-0329 |
SSI MAIL SCREENER SURVEY PRETEST |
1982-12-28 |
| 0960-0327 |
REQUEST FOR HEARING HOSPITAL INSURANCE BENEFITS PAYABLE UNDER PART A OF TITLE XVIII |
1982-12-21 |
| 0960-0326 |
EVALUATION OF 1981 AFDC AMENDMENTS--FOLLOWUP TELEPHONE INTERVIEW |
1982-12-15 |
| 0960-0325 |
QUARTERLY REPORT OF RECOVERIES OF OVERPAYMENTS (AID TO FAMILIES WITH DEPENDENT CHILDREN) |
1986-06-25 |
| 0960-0324 |
SUPPLEMENTAL SECURITY INCOME REFERRAL NOTICE |
2021-01-28 |
| 0960-0323 |
Third-Party Liability Information Statement |
2021-09-10 |
| 0960-0322 |
REPORT OF BLACK LUNG STUDENT BENEFICIARY AT END OF SCHOOL YEAR |
1990-08-02 |
| 0960-0321 |
STATE'S REPORT OF WAGES PAID |
1985-11-01 |
| 0960-0319 |
EMPLOYMENT SEARCH PROGRAM--TAX EQUITY AND FISCAL RESPONSIBILIT ACT OF 1982 |
1982-08-30 |
| 0960-0318 |
MONTHLY ESTIMATE OF OBLIGATIONS |
1986-04-30 |
| 0960-0317 |
QUARTERLY PERFORMANCE REPORT |
1985-04-25 |
| 0960-0316 |
Claimant's Statement When Request for Hearing is Filed and the Issue is Disability |
2001-02-08 |
| 0960-0315 |
QUALITY REVIEW QUESTIONNAIRE--DISABILITY |
1982-08-18 |
| 0960-0314 |
Black Lung Student's Statement Regarding Resumption of School Attendance; Report of Black Lung Student Beneficiary at End of School Year |
1999-10-21 |
| 0960-0313 |
INTEGRATED REVIEW SCHEDULE |
1985-05-30 |
| 0960-0311 |
SUMMER STATE SURVEY OF FY 82 LOW-INCOME HOME ENERGY ASSISTANCE PROGRAM |
1982-07-09 |
| 0960-0310 |
Vocational Rehabilitation Provider Claim, 20 CFR 404 Subpart V |
2026-04-27 |
| 0960-0309 |
REFUGEE AND ENTRANT UNACCOMPANIED MINOR PLACEMENT REPORT AND REFUGEE AND ENTRANT UNACCOMPANIED MINOR PROGRESS REPORT |
1986-10-29 |
| 0960-0308 |
TENTH WAVE SURVEY OF SOUTHEAST ASIAN REFUGEES: (A) SHORT FORM, (B) LONG FORM |
1986-03-07 |
| 0960-0307 |
FEDERAL ANNUAL MAGNETIC TAPE REPORTING REQUEST FOR AUTHORIZATION |
1988-11-02 |
| 0960-0305 |
CALCULATION OF 1978 BASE YEAR COURT COSTS |
1982-11-05 |
| 0960-0304 |
20 CFR 416, SUBPARTS K AND L - INCOME AND RESOURCES DEEMING RULES, SUPPLEMENTAL SECURITY INCOME |
1982-05-10 |
| 0960-0301 |
QUARTERLY ESTIMATE OF EXPENDITURES |
1986-06-25 |
| 0960-0300 |
Claimnet's Work Background - 20 CFR 404 Subpart O and 20 CFR 416 Subpart I |
2026-03-23 |
| 0960-0299 |
RECIPIENT FRAUD IN PUBLIC ASSISTANCE PROGRAMS |
1984-04-20 |
| 0960-0298 |
STATE ESTIMATE FORM |
1986-04-30 |
| 0960-0297 |
DIRECT DEPOSIT MASS CHANGE LISTING |
1989-07-31 |
| 0960-0296 |
STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS |
1982-04-13 |
| 0960-0295 |
SOUTHEAST ASIAN REFUGEE SELF-SUFFICIENCY STUDY |
1982-04-08 |
| 0960-0294 |
QUARTERLY STATEMENT OF EXPENDITURES |
1986-06-25 |
| 0960-0293 |
Authorization for the Social Security Administration to Obtain Records from a Financial Institution and Request for Records |
2026-04-03 |
| 0960-0292 |
Claimant's Recent Medical Treatment, 20 CFR 404.1512 and 416.92 |
2021-06-30 |
| 0960-0291 |
STATE PROFILE SHEET - STATE SUPPLEMENTATION PROGRAMS FOR THE AGED, BLIND AND DISABLED |
1982-03-29 |
| 0960-0290 |
RADIO PROGRAM EVALUATION STUDY |
1982-07-21 |
| 0960-0289 |
Claimant's Medications - 20 CFR, Subpart P, 404.1512 and Subpart 1, 416.912 |
2024-12-13 |
| 0960-0288 |
Notice Regarding Substitution of Party Upon Death of Claimant; 20 CFR 404.957(c)(4); 20 CFR 416.1457(c)(4) |
2021-09-30 |
| 0960-0287 |
NEW BENEFICIARY SURVEY |
1982-03-16 |
| 0960-0286 |
STUDY OF THE MATCHING GRANT PROGRAM FOR REFUGEE RESETTLEMENT |
1982-03-16 |
| 0960-0285 |
SURVEY OF REFUGEES CONCERNING THE OUTCOMES OF ENGLISH LANGUAGE TRAINING |
1982-03-11 |
| 0960-0284 |
Waiver of Your Right to Personal Appearance Before an Administrative Law Judge |
2022-11-01 |
| 0960-0283 |
WINTER STATE SURVEY OF FY 82 LOW-INCOME HOME ENERGY ASSISTANCE PROGRAM |
1982-03-05 |
| 0960-0282 |
Vocational Rehabilitation "301" Program Development - 20 CFR, Subpart D, Subpart P, Subpart M, and Subpart N |
2024-07-29 |
| 0960-0281 |
APPLICATION FOR THE COLLECTION OF DELINQUENT CHILD SUPPORT PAYMENTS BY THE INTERNAL REVENUE SERVICE |
1986-08-03 |
| 0960-0280 |
APPEARANCE AT HEARING |
1989-09-08 |
| 0960-0279 |
CORRECTIVE ACTION PLANS AND PROGRESS REPORTS |
1986-04-07 |
| 0960-0278 |
FINANCIAL STATUS AND PERFORMANCE REPORT FORMS FOR TRANSITION PROGRAM FOR REFUGEE CHILDREN AND EDUCATIONAL SERVICES FOR CUBAN AND HAITIAN ENTRANT CHILDREN |
1982-02-12 |
| 0960-0277 |
Request for Review of Hearing Decision/Order, 20 CFR 404.967-.981, 20 CFR 416.1467-.1481 |
2023-10-06 |
| 0960-0276 |
REQUEST FOR FUNDS FOR THE WORK INCENTIVE DEMONSTRATION PROGRAM |
1986-07-31 |
| 0960-0275 |
FINANCIAL STATUS REPORT |
1986-08-01 |
| 0960-0274 |
Report of Student Beneficiary About to Attain Age 19 |
2004-09-29 |
| 0960-0273 |
STUDY OF THE EXTENT AND EFFECTS OF ENGLISH LANGUAGE TRAINING FOR REFUGEES |
1982-01-18 |
| 0960-0272 |
APRIL 1982 CURRENT POPULATION SURVEY (CPS), ALIMONY AND CHILD SUPPORT SUPPLEMENT |
1982-01-11 |
| 0960-0271 |
RECONCILIATION STATEMENT |
1984-02-24 |
| 0960-0270 |
QUALITY REVIEW QUESTIONNAIRE - RECONTACT OF WIDOWED MOTHER AND FATHER BENEFICIARIES REGARDING REPORTABLE EVENTS |
1982-01-06 |
| 0960-0269 |
Request for Hearings by Administrative Law Judge |
2025-03-21 |
| 0960-0267 |
Medicaid Use Report, 20 CFR 216.628 |
2023-12-29 |
| 0960-0266 |
STATE PLANS FOR REFUGEE RESETTLEMENT |
1983-03-28 |
| 0960-0264 |
QUALITY REVIEW QUESTIONNAIRE - DISABILITY |
1982-01-25 |
| 0960-0263 |
SS-5 REDEVELOPMENT STUDY |
1981-10-02 |
| 0960-0262 |
EMPLOYER CLASSIFICATION UPDATES |
1997-02-10 |
| 0960-0261 |
LOW INCOME HOME ENERGY ASSISTANCE BLOCK GRANT |
1984-08-02 |
| 0960-0260 |
AID TO FAMILIES WITH DEPENDENT CHILDREN MONTHLY REPORTING |
1985-11-01 |
| 0960-0259 |
QUALITY REVIEW QUESTIONNAIRE - DISABILITY |
1981-09-15 |
| 0960-0258 |
PARENTAL KIDNAPPING LOCATOR SERVICES |
1985-11-01 |
| 0960-0256 |
COMMUNITY WORK EXPERIENCE FINANCIAL RECORDS |
1985-11-01 |
| 0960-0255 |
WORK INCENTIVE DEMONSTRATION APPLICATION |
1981-09-04 |
| 0960-0254 |
WORK INCENTIVE DEMONSTRATION PROGRAM REPORT |
1986-08-03 |
| 0960-0253 |
STATE PLAN FOR CHILD SUPPORT COLLECTION AND ESTABLISHMENT OF PATERNITY UNDER TITLE IV-D OF THE SOCIAL SECURITY ACT |
1985-10-28 |
| 0960-0252 |
TITLE IV-A STATE PLAN PREPRINT |
1986-08-03 |
| 0960-0251 |
ANNUAL STATISTICAL REPORT ON REQUESTS FOR HEARINGS |
1983-12-02 |
| 0960-0250 |
STATE ESTIMATE FORM |
1981-08-24 |
| 0960-0249 |
FINANCIAL STATUS REPORT |
1981-08-24 |
| 0960-0248 |
CHEP - CUBAN/HAITIAN ENTRANT UNACCOMPANIED MINOR PLACEMENT REPORT |
1981-08-04 |
| 0960-0247 |
Workers' Compensation/Public Disability Benefit Questionnaire, 20 CFR 404.408 |
2025-01-21 |
| 0960-0244 |
QUALITY REVIEW QUESTIONNAIRE--DISABILITY QUALITY REVIEW QUESTIONNAIRE--INSURED INDIVIDUAL |
1981-06-01 |
| 0960-0243 |
NOTICE REQUESTING EMPLOYER IDENTIFICATION NUMBER AND NAME OF ENTITY |
1981-05-14 |
| 0960-0242 |
STATEMENT CONCERNING BANKING AND BUSINESS TRANSACTIONS |
1985-02-14 |
| 0960-0240 |
Subpart T-State Supplementation Provisions; Payment 20 CFR 416.2099 |
2021-11-24 |
| 0960-0239 |
QUARTERLY APPLICATION FOR GRANT AWARD |
1986-08-11 |
| 0960-0238 |
QUARTERLY REPORT OF COLLECTIONS OCSE-34 |
1986-08-13 |
| 0960-0237 |
STATE RECORDKEEPING REQUIREMENTS FOR REFUGEE SERVICES |
1981-03-18 |
| 0960-0236 |
STATE REFUGEE ASSISTANCE PERFORMANCE AND FINANCIAL STATUS REPORT |
1981-03-18 |
| 0960-0235 |
QUARTERLY REPORT OF EXPENDITURES AND PRIOR QUARTER EXPENDITURES ADJUSTMENT |
1986-08-13 |
| 0960-0234 |
STUDENT FIELD REVIW QUESTIONNAIRE AND SCHOOL FIELD CONTACT QUESTIONNAIRE |
1981-02-09 |
| 0960-0231 |
CUBAN/HAITIAN ENTRANT SPONSORSHIP BREAKDOWN SURVEY |
1980-12-16 |
| 0960-0229 |
SSA-8000-BK - 20 CFR, Subpart C, 416.305-.335 |
2021-12-03 |
| 0960-0226 |
SEMIANNUAL BUDGET ESTIMATES (FORMERLY QUARTERLY BUDGET ESTIMATES) |
1986-08-13 |
| 0960-0225 |
STATE AGENCY STATEMENT OF FINANCIAL PLAN FOR AID TO FAMILIES WITH DEPENDENT CHILDREN |
1984-08-02 |
| 0960-0223 |
UMMARY REPORT ON THE LOW INCOME ENERGY ASSISTANCE PROGRAM |
1981-04-27 |
| 0960-0222 |
CUBAN/HAITIAN ENTRANT STATE ESTIMATE FORM |
1980-10-09 |
| 0960-0221 |
SF-269-FIN. STATUS REPORT. SF 270-REQUEST FOR ADVANCE OR REIMBURSEMENT |
1980-10-09 |
| 0960-0217 |
SUPPLEMENTAL SECURITY INCOME-QUALITY ASSURANCE CASE REVIEW ANALYSIS |
1980-07-25 |
| 0960-0216 |
QUALITY REVIEW QUESTIONNAIRE-DISABILITY: INSURED INDIVIDUAL, SPOUSE AND SURVIVING SPOUSE, AND CHILDREN |
1980-07-10 |
| 0960-0215 |
DIVISION OF PROGRAM EVALUATION AND MEASUREMENT QUESTIONNAIRE RSDI |
1980-07-09 |
| 0960-0214 |
STATE PLAN PREPRINTS FOR HOME ENERGY ASSISTANCE PROGRAM-- FY 1981 |
1980-07-09 |
| 0960-0213 |
STUDY OF UNREPORTED BANK ACCOUNTS |
1980-04-10 |
| 0960-0212 |
APPLICATION FOR SUPPLEMENTAL SECURITY INCOME |
1980-02-06 |
| 0960-0208 |
1979 RECIPIENT CHARACTERISTICS STUDY ACCURACY CHECK SCHEDULE |
1979-10-19 |
| 0960-0207 |
REPORT TO SOCIAL SECURITY ADMINISTRATION ABOUT WORKMEN'S COMPENSATION |
1979-08-31 |
| 0960-0196 |
1978 SURVEY OF WIDOWS WITHOUT BENEFITS |
1978-11-20 |
| 0960-0194 |
SURVEY OF DISABLED CHILDREN RECEIVING SUPPLEMENTAL SECURITY INSURANCE BENEFITS |
1977-12-14 |
| 0960-0191 |
NURSING HOME REPORT ON USE OF SOCIAL SECURITY BENEFITS |
1977-02-07 |
| 0960-0190 |
QUARTERLY ESTIMATE OF EXPENDITURES AND ALLOTMENT NEED |
1980-09-29 |
| 0960-0189 |
Sample Number Holder; Auxiliaries/Survivors; Parents; Stewardship Annual Earnings Test Workbook |
2025-06-27 |
| 0960-0188 |
APPLICATION FOR BENEFITS UNDER THE SWITZERLAND-U.S. INTERNATIONAL SOCIAL SECURITY AGREEMENT |
1986-08-26 |
| 0960-0187 |
PHYSICIAN'S STATEMENT |
1980-06-09 |
| 0960-0186 |
FINANCIAL STATUS REPORT |
1981-11-18 |
| 0960-0185 |
ENERGY ASISTANCE FOR LOW INCOME FAMILIES |
1980-05-15 |
| 0960-0184 |
Instructions for Completion of Federal Assistance Application Form SSA-96 for SSA Research and Demonstration Grant Programs |
2009-06-16 |
| 0960-0181 |
STATEMENT BY SOCIAL SECURITY BENEFICIARY REGARDING MARRIAGE |
1985-11-26 |
| 0960-0180 |
REPORTING CHANGES THAT AFFECT SOCIAL SECURITY PAYMENTS RECEIVED BY REPRESENTATIVE PAYEES (GROUP PAYEE SITUATIONS) |
1981-11-10 |
| 0960-0177 |
SUMMARY REPORT ON CLAIMS OF GOOD CAUSE...AND CASE REPORT ON CLAIM OF GOOD CAUSE |
1985-10-04 |
| 0960-0176 |
WORKSHEET FOR INTEGRATED QUALITY CONTROL REVIEWS |
1986-09-17 |
| 0960-0175 |
APPLICATION FOR BENEFITS UNDER THE FEDERAL REPUBLIC OF GERMANY-U.S. INTERNATIONAL SOCIAL SECURITY AGREEMENT |
1986-08-16 |
| 0960-0174 |
STATEMENT OF LIVING ARRANGEMENTS, SUPPORT AND MAINTENANCE/ADDITIONAL STATEMENT OF LIVING ARRANGE- MENTS, SUPPORT AND MAINTENANCE |
2021-04-12 |
| 0960-0172 |
APPLICATION FOR CERTIFICATE OF COVERAGE |
1979-04-16 |
| 0960-0171 |
ELECTION OF COVERAGE |
1979-04-16 |
| 0960-0165 |
REQUEST FOR PARENT LOCATOR SERVICES |
1986-08-03 |
| 0960-0164 |
SEMIANNUAL STATISTICAL REPORT ON HEARINGS |
1980-03-25 |
| 0960-0163 |
SIXTH AND SEVENTH WAVE SURVEY-INDOCHINESE RESETTLEMENT OPERATIONAL FEEDBACK |
1978-07-11 |
| 0960-0161 |
APPLICATION FOR BENEFITS UNDER THE ITALY-U.S. INTERNATIONAL SOCIAL SECURITY AGREEMENT |
1986-05-27 |
| 0960-0160 |
Government Pension Questionnaire; 20 CFR 404.408a |
2025-03-14 |
| 0960-0159 |
MEDICAL REPORT (INDIVIDUAL WITH CHILDHOOD IMPAIRMENT) |
1980-07-28 |
| 0960-0158 |
STATE AGENCY OPERATIONS REPORT-WORKSHEET |
1978-02-10 |
| 0960-0157 |
STATISTICAL REPORT ON RECIPIENTS UNDER PUBLIC ASSISTANCE PROGRAM |
1984-10-01 |
| 0960-0156 |
REVIEW OF NEGATIVE CASE ACTIONS |
1985-08-15 |
| 0960-0154 |
CHILD SUPPORT PROGRAM REPORTING |
1984-11-20 |
| 0960-0152 |
MONTHLY "FLASH" REPORTS OF SELECTED PROGRAM DATA |
1986-07-24 |
| 0960-0151 |
REPORT ON METHODS OF DEALING WITH QUESTIONS OF RECIPIENT FRA UD IN STATE PUBLIC ASSISTANCE PROGRAMS |
1981-05-28 |
| 0960-0150 |
STATISTICAL REPORT ON CHILDREN AGED 5-17 IN FOSTER HOMES AND AFDC RECIPIENTS AGED 5-17 NEEDED TO IMPLEMENT THE ELEMENTARY AND SECONDARY EDUCATION ACT |
1986-07-08 |
| 0960-0148 |
STATISTICAL REPORT ON PUBLIC ASSISTANCE APPLICATIONS, CASES APPROVED, AND CASES DISCONTINUED, PARTS I, II, III |
1986-06-25 |
| 0960-0147 |
MEDICAL HISTORY AND DISABILITY REPORT - WIDOW, WIDOWER, SURVIVING DIVORCED WIFE, DISABLED CHILD |
1987-06-15 |
| 0960-0146 |
QUALITY CONTROL IN AID TO FAMILIES WITH DEPENDENT CHILDREN AND QUALITY CONTROL IN ADULT PROGRAMS |
1985-12-03 |
| 0960-0145 |
Statement of Continuing Eligibility, Supplemental Security Income Payment(s) |
2022-06-21 |
| 0960-0144 |
Reconsideration Disability Report |
2024-10-22 |
| 0960-0143 |
Student's Statement Regarding Resumption of School Attendance |
2001-05-30 |
| 0960-0142 |
STATEMENT OF DEATH BY FUNERAL DIRECTOR SSA-21 (REPLACES FORM SSA-2872) |
2024-05-09 |
| 0960-0141 |
Disability Report, Vocational Report |
1998-02-23 |
| 0960-0140 |
RECORDS OF SSI INQUIRY |
2008-11-26 |
| 0960-0139 |
QUARTERLY WORKLOAD AND ACTIVITY REPORT-SUPPLEMENTAL SECURITY INCOME PROGRAM |
1980-12-31 |
| 0960-0138 |
Letter to Employer Requesting Wage Information |
2024-05-09 |
| 0960-0136 |
CONFIRMATION OF SCHOOL ATTENDANCE |
1984-02-10 |
| 0960-0135 |
REPRESENTATIVE PAYEE REPORT FOR SUPPLEMENTAL SECURITY INCOME |
1982-07-21 |
| 0960-0134 |
EVALUATION AND MEASUREMENT SYSTEM - SUPPLEMENTAL SECURITY INCOME QUESTIONNAIRE |
1977-11-10 |
| 0960-0133 |
SUPPLMENTAL SECURITY INCOME-QUALITY ASSURANCE CASE REVIEW ANALYSIS |
2025-06-25 |
| 0960-0132 |
SSA/STATE SSI INFORMATION EXCHANGE |
1983-01-12 |
| 0960-0131 |
STATEMENT OF CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS |
1987-09-30 |
| 0960-0130 |
Quarterly Statistical Report on Recipients and Payments under State-Administered Assistance Programs for Aged.... |
2008-06-16 |
| 0960-0129 |
VOCATIONAL SURVEY FORM - DISABILITY INSURANCE PROGRAM |
1982-07-21 |
| 0960-0128 |
Reporting Events, SSI |
2014-04-02 |
| 0960-0127 |
Agreement to Sell Property, 20 CFR 416.1240, 20 CFR 416.1242, 20 CFR 416.1244, 20 CFR 416.1245 |
2023-11-22 |
| 0960-0126 |
REPORT OF STUDENT BENEFICIARY ABOUT TO ATTAIN AGE 22 |
1984-08-02 |
| 0960-0125 |
APPLICATION TO BE SELECTED AS PAYEE FOR A SUPPLEMENTAL SECURITY INCOME RECIPIENT |
1977-03-23 |
| 0960-0124 |
Statement of Income and Resources; 20 CFR 416.207, 416.301-.310, 416.704, 416.708 |
2020-11-06 |
| 0960-0123 |
APPLICATION FOR SUPPLEMENTAL SECURITY INCOME (INDIVIDUAL WITH SPOUSE) |
1980-11-29 |
| 0960-0122 |
APPLICATION FOR SUPPLEMENTARY SECURITY INCOME (INDIVIDUAL) |
1980-11-29 |
| 0960-0121 |
APPLICATION FOR SUPPLEMENTAL SECURITY INCOME (COUPLE) |
1980-11-29 |
| 0960-0120 |
Pre-1957 Military Service Federal Questionnaire; 20 CFR 404.1301-1371 |
2022-05-31 |
| 0960-0119 |
REQUEST TO BE SELECTED AS PAYEE |
1977-04-20 |
| 0960-0118 |
APPLICATION FOR BENEFITS UNDER THE FEDERAL MINE SAFETY AND HEALTH ACT OF 1977, AS AMENDED (WIDOW'S CLAIMS, CHILD'S CLAIM, DEPENDENT CLAIM) |
2001-09-25 |
| 0960-0116 |
Child Relationship Statement |
2022-05-25 |
| 0960-0115 |
SOCIAL SECURITY DISABLED PERSON REPORT |
1981-11-18 |
| 0960-0114 |
APPLICATION FOR BENEFITS FOR AN INDIVIDUAL IN A MENTAL INSTI TUTION |
1983-05-16 |
| 0960-0113 |
Statement Regarding Students' School Attendance |
2002-01-18 |
| 0960-0112 |
REPRESENTATIVE PAYEE REPORT (CLOSEOUT STATEMENT) |
2001-03-29 |
| 0960-0111 |
REVIEW OF STATE MENTAL INSTITUTION REPRESENTATIVE PAYEE PROGRAM (SOC.SEC.) BENEFICIARY REPORT |
1985-07-08 |
| 0960-0110 |
State Mental Institution Policy Review--20 CFR 404 Subpart U and 416 Subpart F, Representative Payment |
2020-08-24 |
| 0960-0109 |
STATEMENTS OF PERSON WITH WHOM BENEFICIARY IS LIVING |
2021-09-03 |
| 0960-0108 |
SOCIAL SECURITY NOTICE REPORT OF WORK ACTIVITY--CONTINUING DISABILITY |
2000-10-23 |
| 0960-0105 |
STUDENT'S STATEMENT REGARDING SCHOOL ATTENDANCE OUTSIDE THE UNITED STATES |
2026-04-29 |
| 0960-0104 |
PETITION TO OBTAIN APPROVAL OF A FEE FOR REPRESENTING A SOCI AL SECURITY CLAIMANT |
2020-04-07 |
| 0960-0103 |
Supplemental Statement Regarding Farming Activities of Persons Living Outside the U.S.A. |
2024-10-24 |
| 0960-0102 |
Medical Report, Individual With Childhood Impairment |
2007-12-17 |
| 0960-0101 |
Claim for Amounts Due in the Case of a Deceased Beneficiary, 20 CFR 404.503(b) |
2021-06-25 |
| 0960-0100 |
VOLUNTARY STATEMENT TO EXPLAIN IRREGULARITY |
1978-05-16 |
| 0960-0098 |
REQUEST FOR WORKMEN'S COMPENSATION INFORMATION |
2021-09-03 |
| 0960-0097 |
Application for Search of Census Records for Proof of Age, 20 CFR 404.716 |
2021-01-28 |
| 0960-0096 |
APPLICATIONS FOR SPECIAL AGE-72-OR-OVER MONTHLY PAYMENTS |
2009-06-12 |
| 0960-0095 |
SOCIAL SECURITY PUBLIC ASSISTANCE AGENCY INFORMATION REQUEST AND REPORT |
1993-04-23 |
| 0960-0094 |
REPORT OF PERSON ENTITLED TO SPECIAL BENEFITS |
1986-08-24 |
| 0960-0093 |
Certification by Religious Group, 20 CFR 404.1075 |
2024-12-20 |
| 0960-0092 |
REQUEST FOR ENROLLMENT IN SUPPLEMENTARY MEDICAL INSURANCE |
1979-07-10 |
| 0960-0091 |
APPLICATION FOR HOSPITAL INSURANCE ENTITLEMENT |
1978-09-21 |
| 0960-0090 |
STATEMENT BY SCHOOL OFFICIAL ABOUT STUDENT'S ATTENDANCE, STATEMENT TO U.S. SOCIAL SECURITY ADMINISTRATION BY SCHOOL OUTSIDE THE UNITED STATES ABOUT STUDENT'S ATTENDANCE |
2004-09-10 |
| 0960-0089 |
SOCIAL SECURITY ADMINISTRATION REPORT OF STUDENT BENEFICIARY AT END OF SCHOOL YEAR |
1999-08-31 |
| 0960-0088 |
Student Reporting Form - 20 CFR, 404, Subparts D & E and 20 CFR, 422, Subpart B |
2025-06-26 |
| 0960-0086 |
CHINESE CUSTOM MARRIAGE STATEMENTS |
2001-07-19 |
| 0960-0084 |
Report on Individual with Childhood Impairment |
2001-10-01 |
| 0960-0083 |
STATEMENT OF INSTITUTION OR SOCIAL AGENCY |
1981-02-04 |
| 0960-0078 |
Rairoad Employment Questionnaire |
2024-10-25 |
| 0960-0077 |
STATEMENT ABOUT DISABILITY BY PERSON OUTSIDE THE U.S. |
1977-11-04 |
| 0960-0076 |
REPORT TO SOCIAL SECURITY ADMINISTRATION BY PERSONS OUTSIDE THE UNITED STATES |
1984-01-13 |
| 0960-0073 |
Reporting Changes That Affect Your Social Security Payment 20 CFR 404, Subparts D & E |
2013-06-04 |
| 0960-0072 |
Report of Continuing Disability Interview |
2026-01-30 |
| 0960-0071 |
Report of New Information in Disability Cases, 20 CFR 404.460, 404.468, 404.408, and 404.1588 |
2009-03-11 |
| 0960-0069 |
REPRESENTATIVE PAYEE REPORT - INSTITUTIONAL PAYEE |
2026-04-27 |
| 0960-0068 |
Representative Payee Report, 20 CFR 404.2035, 20 CFR 404.2065, 20 CFR 416.635, and 20 CFR 416.665 |
2020-08-27 |
| 0960-0067 |
REQUEST FOR MEDICAL REPORT HOSPITAL PULMONARY TUBERCULOSIS |
1979-03-28 |
| 0960-0066 |
APPLICATION FOR SOCIAL SECURITY AND TAX ACCOUNT NUMBER - OR REPLACEMENT OF LOST CARD |
2026-05-29 |
| 0960-0064 |
Farm Arrangement Questionnaire--20 CFR 404.1082(c) |
2024-11-29 |
| 0960-0063 |
REQUEST FOR RECONSIDERATION (OF THE INITIAL DETERMINATION MA DE IN CLAIMS CASES) |
1985-01-31 |
| 0960-0062 |
APPLICATION FOR SURVIVORS BENEFITS(PAYABLE UNDER TITLE II OF THE SOCIAL SECURITY ACT) |
2020-08-05 |
| 0960-0061 |
Farm Self-Employment Questionnaire |
2024-09-23 |
| 0960-0060 |
Application for Disability Insurance Benefits - 20 CFR, Subpart P, 404.1501-.1512 and Subpart D, 404.315-.322 |
2003-12-15 |
| 0960-0059 |
WORK ACTIVITY REPORT-SELF EMPLOYED PERSON - WORK ACTIVITY REPORT-EMPLOYEE |
2024-12-16 |
| 0960-0058 |
REQUEST FOR MEDICAL REPORT (MENTAL IMPAIRMENT) |
2011-11-10 |
| 0960-0057 |
ANNUAL REPORT OF EARNINGS AND ESTIMATE OF EARNINGS (BENEFICI ARIES WHOSE ANNUAL EARNINGS EXCEED TWELVE HUNDRED) |
1997-12-22 |
| 0960-0052 |
MEDICAL REPORT -- GENERAL |
2010-09-14 |
| 0960-0051 |
Supplement To Claim of Person Outside the United States 20 CFR 406.460, 404.463, 422.505(b), 42 CFR 407.27(c) |
2025-06-25 |
| 0960-0050 |
Questionnaire About Employment or Self-Employment Outside the United States 20 CFR 404.401, .415-.417 |
2025-01-17 |
| 0960-0049 |
Report to United States Social Security Administration by Person Receiving Benefits for a Child or Adult Unable to Handle Funds |
2026-01-20 |
| 0960-0048 |
STATEMENT OF PERSON REQUESTING PAYMENT ON BEHALF OF ESTATE |
1982-07-21 |
| 0960-0047 |
DOMESTIC SERVICE QUESTIONNAIRE |
1993-08-19 |
| 0960-0046 |
Statement of Self-Employment Income, 20 CFR 404.101, 404-110, 404.1096(a)-(d) |
2024-12-05 |
| 0960-0045 |
Statement of Claimant or Other Persons |
2025-04-17 |
| 0960-0044 |
STATES REPORT OF ADJUSTMENTS |
1986-08-19 |
| 0960-0043 |
STATES QUARTERLY REPORT OF WAGES PAID |
1980-10-22 |
| 0960-0042 |
RECAPITULATION OF STATES QUARTERLY REPORT OF WAGES PAID |
1991-03-01 |
| 0960-0041 |
Wage and Contributions Paid Prior to 1987 - 20 CFR, Subpart M, 404.1237 and .1249 |
2002-11-25 |
| 0960-0040 |
Employment Relationship Questionnaire |
2024-04-26 |
| 0960-0038 |
Statement of Marital Relationship (By One of the Parties) 20 CFR, 404.726 |
2021-01-28 |
| 0960-0037 |
REQUEST FOR WAIVER OF OVERPAYMENT RECOVERY OR CHANGE IN_REPAYMENT RATE |
2025-03-11 |
| 0960-0036 |
STATEMENT OF EMPLOYER - STATEMENT OF AGRICULTURAL EMPLOYER |
2024-11-14 |
| 0960-0034 |
Letter to Employer Requesting Information About Wages Earned by Beneficiary, 20 CFR 404703 and .801 |
2021-03-02 |
| 0960-0031 |
STATEMENT REGARDING WAGES BY PERSON HAVING KNOWLEDGE THEREOF |
1978-09-08 |
| 0960-0030 |
Statemernt of Employer 20 CFR, 404.801-803 |
2025-06-25 |
| 0960-0029 |
Request for Correction of Earnings Record, 20 CFR 404.820 and 422.125 |
2026-05-27 |
| 0960-0027 |
SICK PAY AND PLAN OR SYSTEM QUESTIONNAIRE |
1982-08-19 |
| 0960-0025 |
Partnership Questionnaire 20 CFR 404.1080-404.1082(e) |
2024-07-10 |
| 0960-0024 |
PHYSICIAN'S/MEDICAL OFFICER'S STATEMENT, PATIENT'S CAPABILITY TO MANAGE BENEFITS |
2021-11-18 |
| 0960-0020 |
Statement Regarding Contributions 20 CFR 404.360-404.366 and 404.736 |
2025-12-18 |
| 0960-0019 |
CERTIFICATE OF RESPONSIBILITY FOR WELFARE AND CARE OF CHILD NOT IN APPLICANTS CUSTODY |
2026-04-27 |
| 0960-0018 |
CERTIFICATE OF APPLICANT FOR PAYMENTS ON BEHALF OF ANOTHER |
1978-05-16 |
| 0960-0017 |
Statement Regarding Marriage, 20 CFR 404.726 |
2026-03-23 |
| 0960-0016 |
STATEMENT REGARDING DATE OF BIRTH BY PERSON HAVING KNOWLEDGE THEREOF |
2017-09-01 |
| 0960-0015 |
Request for Withdrawal of Application, 20 CFR 404.640 |
2021-09-09 |
| 0960-0014 |
Request to be Selected as Payee, 20 CFR 404.2010 - .2025, 410.582 - .583 and 416.601 - .665 |
2026-04-27 |
| 0960-0013 |
Application for Lump-Sum Death Payment; 404.390 - .392 |
2022-09-30 |
| 0960-0012 |
Application for Parent's Insurance Benefits,, 20 CFR 404.370 - .374, .601 - .603 |
2021-09-30 |
| 0960-0011 |
APPLICATION FOR SURVIVING CHILDS INSURANCE BENEFITS |
1981-10-02 |
| 0960-0010 |
Application for Child's Insurance Benefits 20 CFR 404.350-404.368, 404.603, 416.350 |
2026-03-23 |
| 0960-0009 |
Marriage Certification; 20 CFR 404.725 |
2020-08-20 |
| 0960-0008 |
APPLICATION FOR WIFES INSURANCE BENEFIT |
2003-12-16 |
| 0960-0007 |
Application for Retirement Insurance Benefits |
2003-12-15 |
| 0960-0006 |
REQUEST FOR CHANGE IN YOUR SOCIAL SECURITY RECORDS |
1980-06-24 |
| 0960-0005 |
ESTABLISHMENT REPORTING PLAN - LIST OF ESTABLISHMENTS OR REPORTING UNITS |
1989-04-12 |
| 0960-0004 |
APPLICATION FOR WIDOWS INSURANCE BENEFITS |
2025-03-14 |
| 0960-0003 |
APPLICATION FOR MOTHERS INSURANCE BENEFITS |
2025-03-14 |
| 0960-0002 |
STATEMENT REGARDING THE PRESUMED DEATH OF AN INDIVIDUAL BY REASON OF HIS CONTINUED AND UNEXPLAINED ABSENCE |
2011-04-20 |
| 0960-0001 |
Certification of Support |
2021-11-19 |