f) 20 CFR 411.575 - Requesting EN Payments - SSA-1391; SSA-1398

The Ticket to Work and Self-Sufficiency Program

OMB: 0960-0644

IC ID: 184462

Documents and Forms

Document Name Document Type
Form SSA-1391 f) 20 CFR 411.575 - Requesting EN Payments - SSA-1391; SSA-1398 Form and Instruction
Form SSA-1391 f) 20 CFR 411.575 - Requesting EN Payments - SSA-1391; SSA-1398 Form and Instruction
SSA-1391 Employment Network Payment Request Form SSA-1391 (revised).pdf Form and Instruction
SSA-1389 EN Services Certification Statement (For Use with Phase 1 Milestone 4 Request) SSA-1389 EN Certification of Services (revised).pdf Form and Instruction
SSA-1398 - Current Version.pdf Removed Form SSA-1398 IC Document
SSA-1399 - Current Version.pdf Removed Form SSA-1399 IC Document
SSA-1389 EN Certification of Services (current).pdf SSA-1389 EN Certification of Services IC Document
SSA-1391 (current).pdf Current SSA-1391 IC Document