Report of Adult Functioning-Employer

ICR 202404-0960-008

OMB: 0960-0805

Federal Form Document

Forms and Documents

Document Name	Status
Form SSA-3385 Report of Adult Functioning-Employer Form	Modified
Form SSA-3385 Report of Adult Functioning-Employer Form	Modified
Justification for the Non-Substantive Changes - 0960-0805 (Removal of Signature Requirement)).docx Justification for No Material/Nonsubstantive Change	2024-04-26
Justification for the Non-Substantive Changes - 0960-0805 (Removal of Signature Requirement)).docx Justification for No Material/Nonsubstantive Change	2024-04-26
Justification for a Non-Substantive Change 0960-0805.docx Justification for No Material/Nonsubstantive Change	2024-02-22
Justification for a Non-Substantive Change 0960-0805.docx Justification for No Material/Nonsubstantive Change	2024-02-22
Supporting Statement - 0805 (Clean Copy).docx Supporting Statement A	2023-08-24
Supporting Statement - 0805 (Clean Copy).docx Supporting Statement A	2023-08-24

IC Document Collections

IC ID	Document Title	Status
221156	Report of Adult Functioning-Employer Form	Modified
221156	Report of Adult Functioning-Employer Form	Modified