Information Collection

Statement Regarding Marriage

IC 8908 under ICR 202601-0960-002 · OMB 0960-0017.

Documents and Forms

Document Name Document Type
Form SSA-753 Statement Regarding Marriage Statement Regarding Marriage Form
SSA-753 Statement Regarding Marriage SSA-753 (revised).pdf Form
SSA-753 (current).pdf Current Version of the SSA-753 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Statement Regarding Marriage	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.726

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-753	Statement Regarding Marriage	SSA-753 (revised).pdf		Yes	No	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Survivor Compensation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 179,804	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	179,804	139,804	40,000
Annual IC Time Burden (Hours)	26,971	20,971	6,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Current Version of the SSA-753	SSA-753 (current).pdf	01/09/2026

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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