OMB control number
Application For Benefits By A Mental Institution On Behalf Of A Patient
OMB 0960-0114 · SSA.
OMB 0960-0114
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 APPLICATION FOR BENEFITS BY A MENTAL INSTITUTION ON BEHALF OF A PATIENT |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 198305-0960-006 | Revision of a currently approved collection | 1983-05-16 | Approved without change | |
| 197809-0960-009 | Extension without change of a currently approved collection | 1978-09-21 | Approved without change | |
| 197804-0960-024 | No material or nonsubstantive change to a currently approved collection | 1978-04-07 | Approved with change |