Financial Disclosure for Civil Monetary Penalty (CMP) Debt

Financial Disclosure for Civil Monetary Penalty (CMP) Debt

OMB: 0960-0776

IC ID: 188515

Documents and Forms

Document Name Document Type
Form SSA-640 Financial Disclosure for Civil Monetary Penalty (CMP) Debt Form and Instruction
SSA-640 Financial Disclosure for Civil Monetary Penalty (CMP) Debt SSA-640 (revised).pdf Form and Instruction
SSA-640 (current).pdf SSA-640 - Current IC Document