OMB control number
Application For Hospital Insurance
OMB 0960-0091 ยท SSA.
OMB 0960-0091
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 APPLICATION FOR HOSPITAL INSURANCE |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 197809-0960-001 | Revision of a currently approved collection | 1978-09-21 | Approved without change | |
| 197601-0960-002 | Extension without change of a currently approved collection | 1976-01-09 | Approved without change |