OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Private Printing and Modification of Prescribed Application and Other Forms

OMB 0960-0663 · SSA.

OMB 0960-0663

To obtain SSA's approval, entities must make their requests in writing using their company letterhead, providing the required information set forth in the regulation. SSA uses the information to: (1) ensure requests comply with the law and regulations, and (2) process requests from third-party entities who want to reproduce, duplicate, or privately print any SSA application or other SSA form. SSA employees review the requests and provide approval via email or mail to the third-party entities. The respondents are third-party entities who submit a request to SSA to reproduce, duplicate, or privately print an SSA-owned form.

The latest form for Private Printing and Modification of Prescribed Application and Other Forms expires 2026-08-31 and is listed under ICR 202207-0960-007.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Supporting Statement - 0663.docxSupporting Statement A
Private Printing and Modification of Prescribed Application and Other Forms Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202603-0960-009 Revision of a currently approved collection 2026-04-28
202207-0960-007 Revision of a currently approved collection 2022-10-03 Approved without change
201906-0960-002 Extension without change of a currently approved collection 2019-08-19 Approved without change
201607-0960-012 Revision of a currently approved collection 2016-10-28 Approved without change
201309-0960-003 Extension without change of a currently approved collection 2014-01-09 Approved without change
201007-0960-012 Revision of a currently approved collection 2010-12-03 Approved without change
200712-0960-007 Revision of a currently approved collection 2008-01-07 Approved without change
200708-0960-015 Revision of a currently approved collection 2007-08-23 Comment filed on proposed rule and continue
200512-0960-012 Extension without change of a currently approved collection 2005-12-27 Approved with change
200210-0960-010 Existing collection in use without an OMB Control Number 2002-10-21 Approved without change