Medical Source Opinion of Patient’s Capability to Manage Benefits

OMB 0960-0024

OMB 0960-0024

SSA collects medical evidence on Form SSA-787 to: (1) determine beneficiaries’ capability or inability to handle their own benefits; and (2) assist in determining the beneficiaries’ need for a representative payee. The respondents are the beneficiary’s physicians or medical officers of the institution in which the beneficiary resides.

The latest form for Medical Source Opinion of Patient’s Capability to Manage Benefits expires 2021-12-31 and can be found here.

All Historical Document Collections
Revision of a currently approved collection 2021-11-18
Approved without change
Revision of a currently approved collection 2018-10-08
Approved without change
No material or nonsubstantive change to a currently approved collection 2015-11-19
Approved without change
Revision of a currently approved collection 2015-08-28
Approved without change
Revision of a currently approved collection 2012-12-26
Approved without change
Revision of a currently approved collection 2010-01-28
Approved without change
Revision of a currently approved collection 2009-05-06
Approved without change
Revision of a currently approved collection 2007-05-07
Approved without change
Revision of a currently approved collection 2004-04-15
Approved without change
Extension without change of a currently approved collection 2001-02-08
Approved without change
Extension without change of a currently approved collection 1998-01-06
Approved without change
Revision of a currently approved collection 1994-11-09
Approved without change
Extension without change of a currently approved collection 1991-11-08
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-06-28
Approved without change
Extension without change of a currently approved collection 1988-11-10
Approved without change
Revision of a currently approved collection 1985-11-13
Approved without change
Extension without change of a currently approved collection 1983-02-01
Approved with change
No material or nonsubstantive change to a currently approved collection 1981-05-11
Approved without change
Revision of a currently approved collection 1981-04-28
Approved without change
Extension without change of a currently approved collection 1977-12-06
Approved without change
Revision of a currently approved collection 1975-11-21

© 2021 OMB.report | Privacy Policy