OMB control number

Report To Social Security Administration About Workers' Compensation

OMB 0960-0367 · SSA.

OMB 0960-0367

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
REPORT TO SOCIAL SECURITY ADMINISTRATION ABOUT WORKERS' COMPENSATION Form

All Historical Document Collections

Historical document collections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