OMB control number
Authorization to Release Medical Report to Physician
OMB 0960-0761 ยท SSA.
OMB 0960-0761
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form SSA-91 Authorization to Release Medical Report to Physician Form | Form |
 0960-0761 supporting statement (2010).docx | Supporting Statement A |
 Addendum.doc | Supplementary Document |
 Authorization to Release Medical Report to Physician Form |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201006-0960-011 | Revision of a currently approved collection | 2010-09-14 | Approved without change | |
| 200704-0960-010 | Existing collection in use without an OMB Control Number | 2007-06-21 | Approved with change |