OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Report on Individual with Mental Impairment

OMB 0960-0058 ยท SSA.

OMB 0960-0058

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-824 Report on Individual with Mental Impairment--Private SectorForm
Form SSA-824 Report on Individual with Mental Impairment--State DDSsForm
0058 Supporting Statement.docxSupporting Statement A
Addendum.doc Supplementary Document
Report on Individual with Mental Impairment--Private Sector Form
Report on Individual with Mental Impairment--State DDSs Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201107-0960-005 Revision of a currently approved collection 2011-11-10 Approved without change
200808-0960-002 Extension without change of a currently approved collection 2009-01-12 Approved without change
200512-0960-001 Extension without change of a currently approved collection 2005-12-02 Approved without change
200210-0960-005 Extension without change of a currently approved collection 2002-10-21 Approved with change
199908-0960-006 Extension without change of a currently approved collection 1999-08-11 Approved without change
199607-0960-005 Extension without change of a currently approved collection 1996-07-25 Approved without change
199305-0960-006 Extension without change of a currently approved collection 1993-05-26 Approved without change
199003-0960-002 Revision of a currently approved collection 1990-03-14 Approved without change
198705-0960-002 Revision of a currently approved collection 1987-05-12 Approved without change
198409-0960-001 Revision of a currently approved collection 1984-09-10 Approved without change
198111-0960-003 Revision of a currently approved collection 1981-11-18 Approved without change
198105-0960-005 No material or nonsubstantive change to a currently approved collection 1981-05-30 Approved with change
197609-0960-004 Reinstatement with change of a previously approved collection 1976-09-27 Approved without change