OMB control number

Statement Of Person Requesting Payment On Behalf Of Estate

OMB 0960-0048 · SSA.

OMB 0960-0048

Latest Forms, Documents, and Supporting Material

Document Name
STATEMENT OF PERSON REQUESTING PAYMENT ON BEHALF OF ESTATE Form

All Historical Document Collections

198207-0960-011 Approved with change	No material or nonsubstantive change to a currently approved collection	1982-07-21
197807-0960-001 Approved without change	Extension without change of a currently approved collection	1978-07-28
197506-0960-001 Approved without change	Extension without change of a currently approved collection	1975-06-05