Report of Deceased Individual's Social Security Record

ICR 202107-0960-001

OMB: 0960-0665

Federal Form Document

Forms and Documents
ICR Details
0960-0665 202107-0960-001
Received in OIRA 202009-0960-013
Report of Deceased Individual's Social Security Record
Revision of a currently approved collection   No
Regular 09/10/2021
  Requested Previously Approved
36 Months From Approved 10/31/2021
50,000 50,000
30,833 5,833
0 0

When a member of the public requests an individual’s Social Security record, SSA needs the name and address of the requestor as well as a description of the requested record to process the request. SSA uses the information the respondent provides on Form SSA-711, or via an internet request through SSA’s electronic Freedom of Information Act (eFOIA) website, to: (1) verify the wage earner is deceased; and (2) access the correct Social Security record. Respondents are members of the public requesting deceased individuals’ Social Security records.

US Code: 5 USC 552 Name of Law: Public Information; agency rules, opinions, orders, records, and proceedings
   PL: Pub.L. 114 - 185 337 Name of Law: Freedom of Information Act (FOIA)

Not associated with rulemaking

  86 FR 35371 07/02/2021
86 FR 49403 09/02/2021

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 50,000 50,000 0 0 0 0
Annual Time Burden (Hours) 30,833 5,833 0 0 25,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
There are no changes to the public reporting burden. However, we updated the burden hours in ROCIS to include the 30-minute travel time to a field office, which increased the overall burden for this collection.

Faye Lipsky 410 965-8783 [email protected]


On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

© 2021 | Privacy Policy