Form SSA-5062 Statement of Household Expense and Contributions

Expand the Definition of a Public Assistance Household (NPRM) - RIN 0960-AI81

SSA-5062

0960-0529 SSA-5062 (Paper version)

OMB: 0960-0835

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File Typeapplication/pdf
File TitleClaimant's Statement About Loan of Food or Shelter
SubjectClaimant's Statement About Loan of Food or Shelter
AuthorSSA
File Modified2023-09-28
File Created2019-05-29

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