Statement of Claimant or Other Person

ICR 202502-0960-016

OMB: 0960-0045

Federal Form Document

Forms and Documents

Document Name	Status
Form SSA-795 Statement of Claimant or Other Person (Paper /in-office interview) Form	Modified
Supporting Statement - 0045.docx Supporting Statement A	2025-04-17

IC Document Collections

IC ID	Document Title	Status
43690	Statement of Claimant or Other Person (Paper /in-office interview) Form	Modified
250002	Statement of Claimant or Other Person (Telephone interviews) Other-SSI Claim System Remarks Screen	Modified