OMB
.report
Search
Form SSA-4-BK (Moderniz SSA-4-BK (Moderniz Application for Child's Insurance Benefits
Application for Child's Insurance Benefits
ssa-4 MCS Screens
Application for Child's Insurance Benefits / Death Claim / Modernized Claims System (MCS)/ Signature Proxy
OMB: 0960-0010
OMB.report
SSA
OMB 0960-0010
ICR 200805-0960-007
IC 45019
Form SSA-4-BK (Moderniz SSA-4-BK (Moderniz Application for Child's Insurance Benefits
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0010 can be found here:
2022-10-24 - Revision of a currently approved collection
2019-09-20 - Revision of a currently approved collection
Document [pdf]
Download:
pdf
|
pdf
File Type
application/pdf
Subject
ssa-4
Author
PETER
File Modified
0000-00-00
File Created
2007-03-22
© 2025 OMB.report |
Privacy Policy