Report on Individual with Mental Impairment

OMB 0960-0058

OMB 0960-0058

Latest Forms, Documents, and Supporting Material

Document Name
Form SSA-824 Report on Individual with Mental Impairment--Private Sector Form
Form SSA-824 Report on Individual with Mental Impairment--State DDSs Form
0058 Supporting Statement.docx Supporting Statement A
Addendum.doc Supplementary Document
Report on Individual with Mental Impairment--Private Sector Form
Report on Individual with Mental Impairment--State DDSs Form

All Historical Document Collections

201107-0960-005 Approved without change	Revision of a currently approved collection	2011-11-10
200808-0960-002 Approved without change	Extension without change of a currently approved collection	2009-01-12
200512-0960-001 Approved without change	Extension without change of a currently approved collection	2005-12-02
200210-0960-005 Approved with change	Extension without change of a currently approved collection	2002-10-21
199908-0960-006 Approved without change	Extension without change of a currently approved collection	1999-08-11
199607-0960-005 Approved without change	Extension without change of a currently approved collection	1996-07-25
199305-0960-006 Approved without change	Extension without change of a currently approved collection	1993-05-26
199003-0960-002 Approved without change	Revision of a currently approved collection	1990-03-14
198705-0960-002 Approved without change	Revision of a currently approved collection	1987-05-12
198409-0960-001 Approved without change	Revision of a currently approved collection	1984-09-10
198111-0960-003 Approved without change	Revision of a currently approved collection	1981-11-18
198105-0960-005 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-05-30
197609-0960-004 Approved without change	Reinstatement with change of a previously approved collection	1976-09-27

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