SSA Health IT Partner Assessment - Participating Facilities and Available Content Form, SSA-680

ICR 202501-0960-006

OMB: 0960-0798

Federal Form Document

Forms and Documents

Document Name	Status
Form SSA-680 Health IT Partner Assessment - SSA-680 Form	Modified
Supporting Statement - 0798.docx Supporting Statement A	2025-04-17

IC Document Collections

IC ID	Document Title	Status
201618	Health IT Partner Assessment - SSA-680 Form	Modified