- Form #
- CMS 1957
- Form Title
- SSO REPORT OF STATE BUY IN PROBLEM
- Revision Date
- 03/01/1994
- O.M.B. #
- 0938-0035
- O.M.B. Expiration Date
- 01/31/2013
- CMS Manual
- N/A
- Special Instructions
- You must either visit or contact the Social Security Administration to obtain this form. 1-800-772-1213