Statement of Claimant or Other Person (Telephone interviews)

Statement of Claimant or Other Person

OMB: 0960-0045

IC ID: 250002

Documents and Forms

Document Name Document Type
Revised CCE Screen package for SSA-795 - 5-5-22.pdf Other-SSI Claim System Remarks Screen
SSA-795 screen package (current).docx SSI Claim System Remarks Screen IC Document