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Report on Individual with Mental Impairment
OMB 0960-0058
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SSA
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All Historical Document Collections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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