Document
Form SSA-5-BK (revised) SSA-5-BK (revised) Application for Mother's or Father's Insurance Benefits
ICR 201810-0960-005 · OMB 0960-0003 · Object 86653401.
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0003 can be found here: