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Form SSA-711 Request for Deceased Individual's Social Security Record
Report of Deceased Individual's Social Security Record
SSA-711 - Revised
Report of Deceased Individual's Social Security Record
OMB: 0960-0665
OMB.report
SSA
OMB 0960-0665
ICR 201607-0960-010
IC 43711
Form SSA-711 Request for Deceased Individual's Social Security Record
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0665 can be found here:
2023-05-09 - No material or nonsubstantive change to a currently approved collection
2022-10-19 - No material or nonsubstantive change to a currently approved collection
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File Modified
2016-07-25
File Created
2016-07-25
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