SSA-L5063 (to SSA- Statement about Food or Shelter Provided to Another

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

(0960-0529) Form SSA-L5063 change to Form SSA-L5065 effective 9-30-2024

0960-0529 SSA-L5063 (Paper version)

OMB: 0960-0835