OMB control number

Claim for Amounts Due in the Case of a Deceased Beneficiary

OMB 0960-0101 · SSA.

OMB 0960-0101

Section 204(d) of the Act provides that if an individual dies before payment under Title II is complete, or before a Medicare premium refund is due, SSA will pay the amount due (including the amount of any check not negotiated) to people who meet specified qualifications under an order of priority. When a Social Security payment, or Medicare premium, was due to a deceased beneficiary at the time of death, and there is insufficient information in the file to identify the people entitled to the payment, or their addresses, SSA asks the surviving spouse, next of kin, or legal representative of the estate to complete Form SSA-1724, Claim for Amounts Due in the Case of a Deceased Beneficiary. SSA collects the information when a surviving child(ren), parent(s), or spouse is not already entitled to a monthly benefit on the same earnings record, or is not filing for a lump-sum death payment as a former spouse. SSA uses the information Form SSA-1724 provides to ensure proper payment of an underpayment due to a deceased beneficiary. The respondents are applicants for Title II underpayments or Medicare premium refunds owed to deceased beneficiaries.

The latest form for Claim for Amounts Due in the Case of a Deceased Beneficiary expires 2027-08-31 and can be found here.

All Historical Document Collections
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Revision of a currently approved collection 2021-06-25
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Revision of a currently approved collection 2018-05-10
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No material or nonsubstantive change to a currently approved collection 2015-12-30
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Extension without change of a currently approved collection 2015-04-28
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Revision of a currently approved collection 2012-07-19
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Revision of a currently approved collection 2009-07-16
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No material or nonsubstantive change to a currently approved collection 2009-01-16
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Revision of a currently approved collection 2006-06-15
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Extension without change of a currently approved collection 2003-06-26
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Extension without change of a currently approved collection 2000-05-03
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Extension without change of a currently approved collection 1997-06-13
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Extension without change of a currently approved collection 1994-04-06
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Extension without change of a currently approved collection 1991-02-06
Approved without change
Extension without change of a currently approved collection 1990-02-15
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-04-21
Approved without change
Extension without change of a currently approved collection 1987-03-11
Approved without change
Revision of a currently approved collection 1984-04-10
Approved without change
Extension without change of a currently approved collection 1984-01-27
Approved without change
Revision of a currently approved collection 1980-12-31
Approved without change
Revision of a currently approved collection 1976-10-19