OMB control number

Medical Report (individual With Childhood Impairement)

OMB 0960-0159 · SSA.

OMB 0960-0159

Latest Forms, Documents, and Supporting Material

Document Name
MEDICAL REPORT (INDIVIDUAL WITH CHILDHOOD IMPAIREMENT) Form

All Historical Document Collections

198007-0960-002 Approved without change	Reinstatement with change of a previously approved collection	1980-07-28
197806-0960-006 Approved without change	New collection (Request for a new OMB Control Number)	1978-06-23