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Physical Residual Functional Capacity Assessment/Mental Residual Capacity Assessment
OMB 0960-0431
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SSA
OMB 0960-0431
OMB 0960-0431
Latest Forms, Documents, and Supporting Material
Document
Name
Form SSA-4734-BK Physical Residual Functional Capacity Assessment and Mental Residual Capacity Assessment
Form
Supporting Statement--0431.doc
Supporting Statement A
Physical Residual Functional Capacity Assessment and Mental Residual Capacity Assessment
Form
All Historical Document Collections
200701-0960-005
Approved with change
Extension without change of a currently approved collection
2007-02-15
200404-0960-007
Approved without change
Revision of a currently approved collection
2004-04-15
200104-0960-004
Approved without change
Revision of a currently approved collection
2001-04-20
200004-0960-004
Approved without change
Extension without change of a currently approved collection
2000-04-20
199702-0960-004
Approved without change
Extension without change of a currently approved collection
1997-02-26
199310-0960-003
Approved without change
Revision of a currently approved collection
1993-10-20
199008-0960-006
Approved without change
Revision of a currently approved collection
1990-08-08
198904-0960-008
Approved with change
No material or nonsubstantive change to a currently approved collection
1989-04-03
198806-0960-003
Approved without change
Revision of a currently approved collection
1988-06-10
198602-0960-003
Approved without change
New collection (Request for a new OMB Control Number)
1986-02-26
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Form SSA-4734-BK Physical Residual Functional Capacity Assessment and Mental Residual Capacity Assessment
Supporting Statement--0431.doc
Physical Residual Functional Capacity Assessment and Mental Residual Capacity Assessment