Information Collection Request
Report of Deceased Individual's Social Security Record
ICR 202304-0960-002 · OMB 0960-0665 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0960-0665 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form SSA-711 Deceased Individual's Social Security Records, SSA-711 (Paper Form) |
Form | Unchanged | Available |
| Form SSA-711 Deceased Individual's Social Security Records, SSA-711 (Paper Form) |
Form | Unchanged | Repair queued |
 Non-substantive Change Request - 0960-0665.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-04-28 | Available |
| Non-substantive Change Request - 0960-0665.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-04-28 | Repair queued |
| Supporting Statement - 0665 (Final).docx |
Supporting Statement A | Uploaded 2021-09-10 | Available |
| Supporting Statement - 0665 (Final).docx |
Supporting Statement A | Uploaded 2021-09-10 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 43711 |  Deceased Individual's Social Security Records, SSA-711 (Paper Form) |
Form | Unchanged | |
| 43711 | Deceased Individual's Social Security Records, SSA-711 (Paper Form) |
Form | Unchanged | |
| 189491 | Request for Deceased Individual's Social Security Record |
Other-Internet Screens | Unchanged |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | SSA |
| OMB Control No | 0960-0665 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202210-0960-004 |
| Date Submitted to OIRA | 2023-05-09 |
| Requested Expiration Date | 1969-12-31 |