OMB control number

Statement Regarding Contributions

OMB 0960-0020 · SSA.

OMB 0960-0020

SSA uses the SSA-783 to collect information regarding a child's current sources of support when determining the child's entitlement to Social Security benefits. We request this information from adults acting on behalf of the child claimants who can provide SSA with any sources of support or substantial contributions for the child. These adults inform the claims representative as part of the initial benefits process. If the individual capable of providing the information does not accompany the child claimant, we mail the SSA-783 to the individual for completion, or if the person has access to a computer, we will refer them to SSA's website. The respondents are individuals providing information about a child's sources of support. We are making non-substantive changes for clarity and to correct typographical errors.

The latest form for Statement Regarding Contributions expires 2027-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SSA-783 Statement Regarding Contributions Form and Instruction
Justification for Non-substantive Changes to 0960-0020 (Final).docx Justification for No Material/Nonsubstantive Change
Supporting Statement - 0020 (Final).docx Supporting Statement A
Statement Regarding Contributions Form and Instruction

All Historical Document Collections

202509-0960-003	No material or nonsubstantive change to a currently approved collection	2025-12-18
202008-0960-012	Revision of a currently approved collection	2020-11-16
201704-0960-001 Approved without change	Revision of a currently approved collection	2017-07-03
201511-0960-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2015-11-11
201403-0960-004 Approved without change	Revision of a currently approved collection	2014-07-08
201102-0960-009 Approved without change	Revision of a currently approved collection	2011-06-02
200807-0960-002 Approved without change	Extension without change of a currently approved collection	2008-07-23
200506-0960-003 Approved without change	Extension without change of a currently approved collection	2005-06-29
200204-0960-003 Approved without change	Revision of a currently approved collection	2002-04-29
200007-0960-005 Approved without change	Extension without change of a currently approved collection	2000-07-28
199708-0960-006 Approved without change	Extension without change of a currently approved collection	1997-08-28
199407-0960-005 Approved without change	Extension without change of a currently approved collection	1994-07-22
199106-0960-001 Approved without change	Extension without change of a currently approved collection	1991-06-26
198906-0960-013 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-06-15
198904-0960-019 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-11
198904-0960-016 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-07
198808-0960-004 Approved without change	Extension without change of a currently approved collection	1988-08-18
198508-0960-005 Approved without change	Extension without change of a currently approved collection	1985-08-09
198211-0960-010 Approved without change	Revision of a currently approved collection	1982-11-17
197805-0960-005 Approved without change	Extension without change of a currently approved collection	1978-05-24
197803-0960-005 Approved without change	Extension without change of a currently approved collection	1978-03-21
197802-0960-009 Approved without change	Extension without change of a currently approved collection	1978-02-01