Information Collection

Statement Regarding Marriage

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-753				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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
Current Version of the SSA-753		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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