Report of Deceased Individual's Social Security Record

ICR 202304-0960-002

OMB: 0960-0665

Federal Form Document

Forms and Documents

Document Name	Status
Form SSA-711 Deceased Individual's Social Security Records, SSA-711 (Paper Form) Form	Unchanged
Form SSA-711 Deceased Individual's Social Security Records, SSA-711 (Paper Form) Form	Unchanged
Non-substantive Change Request - 0960-0665.docx Justification for No Material/Nonsubstantive Change	2023-04-28
Non-substantive Change Request - 0960-0665.docx Justification for No Material/Nonsubstantive Change	2023-04-28
Supporting Statement - 0665 (Final).docx Supporting Statement A	2021-09-10
Supporting Statement - 0665 (Final).docx Supporting Statement A	2021-09-10

IC Document Collections

IC ID	Document Title	Status
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