OMB control number
Social Security Administration (SSA) COVID-19 Symptoms Screener for Hearings
OMB 0960-0824 · SSA.
OMB 0960-0824
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Addendum - 0824 (Final).docx | Supplementary Document |
| Supporting Statement - 0824 (Final).docx | Supporting Statement A |
 COVID Screener Questions and Appointment Check-In - Mobile Application |
Other-Mobile Application Screens |
| COVID Screener Questions and Appointment Check-In - Telephone Check-In |
Other-Telephone Script |
| COVID Screener Questionnaire |
Other-Internet Screens |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202206-0960-005 | Revision of a currently approved collection | 2022-06-14 | Disapproved and continue | |
| 202203-0960-014 | No material or nonsubstantive change to a currently approved collection | 2022-03-31 | Approved without change | |
| 202112-0960-002 | New collection (Request for a new OMB Control Number) | 2021-12-03 | Approved without change |