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c) 20 CFR 411.200(b) - SSA-1375
The Ticket to Work and Self-Sufficiency Program
OMB: 0960-0644
IC ID: 184457
OMB.report
SSA
OMB 0960-0644
ICR 202312-0960-002
IC 184457
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0644 can be found here:
2024-04-08 - No material or nonsubstantive change to a currently approved collection
2024-01-18 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form SSA-1375
c) 20 CFR 411.200(b) - SSA-1375
Form
SSA-1375 Ticket to Work Progress Review Form
SSA-1375 (revised).pdf
Form
SSA-1375 (current).pdf
SSA-1375 (current)
IC Document
Information Collection (IC) Details
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