OMB control number
Application For Certificate Of Coverage
OMB 0960-0172 ยท SSA.
OMB 0960-0172
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 APPLICATION FOR CERTIFICATE OF COVERAGE |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 197904-0960-002 | New collection (Request for a new OMB Control Number) | 1979-04-16 | Approved without change |