Filing Claims Under the Federal Tort Claims Act

ICR 202403-0960-011

OMB: 0960-0667

Federal Form Document

Forms and Documents

Document Name	Status
Form SF-95 20 CFR 429.102; 429.103 - Filing a Claim (SF-95, OMB No. 1105-0008) Form and Instruction	Modified
Supporting Statement - 0667 (Final).docx Supporting Statement A	2024-07-08

IC Document Collections

IC ID	Document Title	Status
9718	20 CFR 429.102; 429.103 - Filing a Claim (SF-95, OMB No. 1105-0008) Form and Instruction	Modified
187062	20 CFR 429.106(b) - File a written request with SSA for reconsideration	Modified
187061	20 CFR 429.104(c) - Death that a negligent or wrongful act or omission an SSA employee caused	Modified
187060	20 CFR 429.104(b) - Personal injury	Modified
187016	20 CFR 429.104(a) - Damage to or loss of property	Modified