Financial Disclosure for Civil Monetary Penalty (CMP) Debt

ICR 202504-0960-005

OMB: 0960-0776

Federal Form Document

Forms and Documents

Document Name	Status
Form SSA-640 Financial Disclosure for Civil Monetary Penalty (CMP) Debt Form and Instruction	Modified
Form SSA-640 Financial Disclosure for Civil Monetary Penalty (CMP) Debt Form and Instruction	Modified
Justification for the Non-Substantive Changes - 0960-0776 (Removal of Signature Requirement).docx Justification for No Material/Nonsubstantive Change	2025-04-28
Justification for the Non-Substantive Changes - 0960-0776 (Removal of Signature Requirement).docx Justification for No Material/Nonsubstantive Change	2025-04-28
Supporting Statement - 0776 (Clean Copy).docx Supporting Statement A	2023-06-13
Supporting Statement - 0776 (Clean Copy).docx Supporting Statement A	2023-06-13

IC Document Collections

IC ID	Document Title	Status
188515	Financial Disclosure for Civil Monetary Penalty (CMP) Debt Form and Instruction	Modified
188515	Financial Disclosure for Civil Monetary Penalty (CMP) Debt Form and Instruction	Modified