Form SSA-3369 Work History Report

Changes to the Information Collection Tools Associated with the Final Rule, Intermediate Improvement to the Disability Adjudication Process, Including How We Consider Past Work (RIN 0960-AI83)

SSA-3369 (Revised for PRW FR)

0960-0578 SSA-3369 (Paper Form) 404.1560; 416.960

OMB: 0960-0834