OMB control number

Application for Benefits Under the Italy-U.S. International Social Security Agreements

OMB 0960-0445 · SSA.

OMB 0960-0445

As per the November 1, 1978 totalization agreement between the United States and Italian Social Security agencies, residents of Italy filing an application for U.S. Social Security benefits directly with one of the Italian Social Security agencies must complete Form SSA-2528-IT. SSA uses Form SSA-2528-IT to establish the factors of eligibility to U.S. benefits, such as age, relationship, citizenship, marriage, death, military service, or to evaluate a family bible or other family record. The Italian Social Security agencies assist applicants in completing Form SSA-2528-IT and then forward the application to SSA for processing. The respondents are individuals living in Italy who wish to file for U.S. Social Security benefits.

The latest form for Application for Benefits Under the Italy-U.S. International Social Security Agreements expires 2026-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SSA-2528-IT Application for Benefits Under the Italy-U.S. International Social Security Agreements Form
Addendum - 0445 (Final).docx Supplementary Document
Supporting Statement - 0445 (Final).docx Supporting Statement A
Application for Benefits Under the Italy-U.S. International Social Security Agreements Form

All Historical Document Collections

202205-0960-006 Approved without change	Revision of a currently approved collection	2022-10-03
201904-0960-004 Approved without change	Revision of a currently approved collection	2019-08-02
201602-0960-010 Approved without change	Revision of a currently approved collection	2016-05-09
201212-0960-002 Approved without change	Revision of a currently approved collection	2013-04-03
200912-0960-006 Approved without change	Revision of a currently approved collection	2010-04-19
200701-0960-019 Approved without change	Extension without change of a currently approved collection	2007-05-01
200406-0960-006 Approved without change	Extension without change of a currently approved collection	2004-06-25
200107-0960-001 Approved without change	Extension without change of a currently approved collection	2001-07-03
199806-0960-012 Approved without change	Extension without change of a currently approved collection	1998-06-16
199505-0960-003 Approved without change	Reinstatement with change of a previously approved collection	1995-05-02
199202-0960-007 Approved without change	Extension without change of a currently approved collection	1992-02-26
198905-0960-001 Approved without change	Revision of a currently approved collection	1989-05-05
198606-0960-003 Approved without change	New collection (Request for a new OMB Control Number)	1986-06-27