0960-0529 SSA-L5063 (Paper version)

Expand the Definition of a Public Assistance Household (Final Rule) - RIN 0960-AI81

Documents and Forms

Document Name Document Type
Form SSA-L5063 0960-0529 SSA-L5063 (Paper version) Form and Instruction
SSA-L5063 Statement about Food or Shelter Provided to Another (0960-0529) SSA-L5063 (gender inclusive language updates).pdf www.ssa.gov Form and Instruction
SSA-L5063 (to SSA-L5065 Effective on 9/30/24) Statement about Food or Shelter Provided to Another (0960-0529) Form SSA-L5063 change to Form SSA-L5065 effective 9-30-2024.pdf www.ssa.gov Form and Instruction

Information Collection (IC) Details