Information Collection
Individuals or Households
IC 9663 under ICR 200905-0960-007 · OMB 0960-0635.
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0635 can be found here:
Documents and Forms
| Document Name | Document Type |
|---|---|
Form SSA-3380Individuals or Households |
Form and Instruction |
SSA-3380 Function Report -- Adult Third PartySSA-3380--Revised Version.pdf | Form and Instruction |
|
Current SSA-3380.pdf SSA-3380 -- Current Version | IC Document |
Information Collection (IC) Details
| IC Title | Individuals or Households |
|---|