OMB control number
Worker's Compensation Letter; Worker's Compensation Questionnaire
OMB 0960-0614 · SSA.
OMB 0960-0614
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Worker's Compensation Letter; Worker's Compensation Questionnaire |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 199912-0960-005 | New collection (Request for a new OMB Control Number) | 1999-12-27 | Approved without change |