OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Request to Resolve Questionable Quarters of Coverage (QC); Request for QC History Based on Relationship

OMB 0960-0575 · SSA.

OMB 0960-0575

Latest Forms, Documents, and Supporting Material

Document Name
Form SSA-512 Request to Resolve Questionable Quarters of Coverage (QC) Form
Form SSA-513 Request for Quarters of Coverage Based on Relationship Form
SSA512 and 513 supporting statement.doc Supporting Statement A
Request to Resolve Questionable Quarters of Coverage (QC) Form
Request for Quarters of Coverage Based on Relationship Form

All Historical Document Collections

200612-0960-005 Approved with change	Extension without change of a currently approved collection	2007-02-26
200403-0960-001 Approved without change	Extension without change of a currently approved collection	2004-03-05
200101-0960-005 Approved without change	Extension without change of a currently approved collection	2001-01-29
199712-0960-008 Approved without change	Extension without change of a currently approved collection	1997-12-29
199706-0960-008 Approved without change	New collection (Request for a new OMB Control Number)	1997-06-16