OMB control number

Medical History and Disability Report (Disabled Child)

OMB 0960-0574 · SSA.

OMB 0960-0574

Latest Forms, Documents, and Supporting Material

Document Name
Medical History and Disability Report (Disabled Child) Form

All Historical Document Collections

199810-0960-007 Approved without change	No material or nonsubstantive change to a currently approved collection	1998-10-01
199712-0960-002 Approved without change	Extension without change of a currently approved collection	1997-12-04
199706-0960-004 Approved without change	New collection (Request for a new OMB Control Number)	1997-06-12