OMB control number
Request to Resolve Questionable Quarters of Coverage (QC); Request for QC History Based on Relationship
OMB 0960-0575 · SSA.
OMB 0960-0575
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form SSA-512 Request to Resolve Questionable Quarters of Coverage (QC) | Form |
| Form SSA-513 Request for Quarters of Coverage Based on Relationship | Form |
 SSA512 and 513 supporting statement.doc | Supporting Statement A |
 Request to Resolve Questionable Quarters of Coverage (QC) |
Form |
| Request for Quarters of Coverage Based on Relationship |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 200612-0960-005 | Extension without change of a currently approved collection | 2007-02-26 | Approved with change | |
| 200403-0960-001 | Extension without change of a currently approved collection | 2004-03-05 | Approved without change | |
| 200101-0960-005 | Extension without change of a currently approved collection | 2001-01-29 | Approved without change | |
| 199712-0960-008 | Extension without change of a currently approved collection | 1997-12-29 | Approved without change | |
| 199706-0960-008 | New collection (Request for a new OMB Control Number) | 1997-06-16 | Approved without change |