OMB control number

Partnerships with Faith-Based and Other Neighborhood Organizations

OMB 1291-0006 · DOL/OASAM.

OMB 1291-0006

Latest Forms, Documents, and Supporting Material

Document Name
1291-0006_SSA_20160404.docx Supporting Statement A
Refer Beneficiary or Potential Beneficiary Alternate Provider
Written Notice to Beneficiaries Instruction

All Historical Document Collections

201603-1291-002 Approved without change	New collection (Request for a new OMB Control Number)	2016-04-04
201504-1291-001 Comment filed on proposed rule	New collection (Request for a new OMB Control Number)	2015-08-06