OMB control number
Statement for Determining Continuing Eligibility for Supplemental Security Income Payment--Adult/Statement for Determining Continuing Eligibility for Supplemental Security Income.....
OMB 0960-0643 · SSA.
OMB 0960-0643
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form SSA-3989 Statement for Determining Continuing Eligibility for Supplemental Security Income Payment--Adult/Statement for Determining Continuing Eligibility for Supplemental Security Income..... | Form |
 Addendum--0643 (10-25-07 Conference Call).doc | Supplementary Document |
| SSA-3989-OCR-SM-1(orginial).pdf | Supplementary Document |
| SSA-3988-OCR-SM-W-1(orginial).pdf | Supplementary Document |
| 3988SPRT STM-2007 08-01-2007[1].doc | Supporting Statement A |
| Revision Document for 3988and3989May15[1].doc | Supplementary Document |
 Statement for Determining Continuing Eligibility for Supplemental Security Income Payment--Adult/Statement for Determining Continuing Eligibility for Supplemental Security Income..... |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 200705-0960-008 | Revision of a currently approved collection | 2007-08-03 | Approved with change | |
| 200509-0960-003 | Reinstatement with change of a previously approved collection | 2005-09-15 | Approved with change | |
| 200303-0960-002 | Revision of a currently approved collection | 2003-03-06 | Approved without change | |
| 200209-0960-004 | Revision of a currently approved collection | 2002-09-09 | Approved without change | |
| 200111-0960-001 | New collection (Request for a new OMB Control Number) | 2001-11-20 | Approved without change |