OMB control number
Application For Benefits By A Mental Institution On Behalf Of A Patient
OMB 0960-0114 · SSA.
OMB 0960-0114
Latest Forms, Documents, and Supporting Material
APPLICATION FOR BENEFITS BY A MENTAL INSTITUTION ON BEHALF OF A PATIENT All Historical Document Collections
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Approved without change |
Revision of a currently approved collection | 1983-05-16 | |
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Approved without change |
Extension without change of a currently approved collection | 1978-09-21 | |
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Approved with change |
No material or nonsubstantive change to a currently approved collection | 1978-04-07 |