OMB control number

Treating Physician Consultative Examination Interest Form

OMB 0960-0751 · SSA.

OMB 0960-0751

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-84 Treating Physician Consultative Examination Interest FormForm
Supporting Statement (revised).docSupporting Statement A
MER letter.tif Supplementary Document
Addendum--SSA-84[1].doc Supplementary Document
Treating Physician Consultative Examination Interest Form Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201002-0960-012 Revision of a currently approved collection 2010-05-18 Approved without change
200704-0960-009 Existing collection in use without an OMB Control Number 2007-06-21 Approved without change