OMB control number

Report To Social Security Administration About Workers' Compensation

OMB 0960-0367 · SSA.

OMB 0960-0367

Latest Forms, Documents, and Supporting Material

Document Name
REPORT TO SOCIAL SECURITY ADMINISTRATION ABOUT WORKERS' COMPENSATION Form

All Historical Document Collections

198903-0960-007 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-03-31
198809-0960-001 Approved without change	Reinstatement with change of a previously approved collection	1988-09-06
198408-0960-021 Approved with change	No material or nonsubstantive change to a currently approved collection	1984-08-02
198402-0960-002 Approved without change	New collection (Request for a new OMB Control Number)	1984-02-15