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0960-0529 SSA-5062 (Paper version)
Expand the Definition of a Public Assistance Household (NPRM) - RIN 0960-AI81
OMB: 0960-0835
IC ID: 262455
OMB.report
SSA
OMB 0960-0835
ICR 202309-0960-006
IC 262455
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0835 can be found here:
2024-04-19 - New collection (Request for a new OMB Control Number)
Documents and Forms
Document Name
Document Type
Form SSA-5062
0960-0529 SSA-5062 (Paper version)
Form and Instruction
SSA-5062 Statement of Household Expense and Contributions
SSA-5062.pdf
www.ssa.gov
Form and Instruction
Information Collection (IC) Details
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