Information Collection Request
Report of Deceased Individual's Social Security Record
ICR 202304-0960-002 · OMB 0960-0665 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0960-0665 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Form |
Unchanged |
Form |
Unchanged |
Justification for No Material/Nonsubstantive Change | 2023-04-28 |
Justification for No Material/Nonsubstantive Change | 2023-04-28 |
Supporting Statement A | 2021-09-10 |
Supporting Statement A | 2021-09-10 |
Form SSA-711 Deceased Individual's Social Security Records, SSA-711 (Paper Form)
Non-substantive Change Request - 0960-0665.docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 43711 | Unchanged | ||
| 43711 | Unchanged | ||
| 189491 | Unchanged |
Deceased Individual's Social Security Records, SSA-711 (Paper Form)ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | SSA |
| OMB Control No | 0960-0665 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202210-0960-004 |
| Date Submitted to OIRA | 2023-05-09 |
| Requested Expiration Date | 1969-12-31 |