OMB control number

Request To Be Selected As Payee

OMB 0960-0119 · SSA.

OMB 0960-0119

Latest Forms, Documents, and Supporting Material

Document Name
REQUEST TO BE SELECTED AS PAYEE Form

All Historical Document Collections

197704-0960-007 Approved without change	Extension without change of a currently approved collection	1977-04-20
197612-0960-011 Approved with change	No material or nonsubstantive change to a currently approved collection	1976-12-20