OMB control number

Statement Regarding Wages By Person Having Knowledge Thereof

OMB 0960-0031 · SSA.

OMB 0960-0031

Latest Forms, Documents, and Supporting Material

Document Name
STATEMENT REGARDING WAGES BY PERSON HAVING KNOWLEDGE THEREOF Form

All Historical Document Collections

197809-0960-006 Approved without change	Revision of a currently approved collection	1978-09-08
197703-0960-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1977-03-23