Information Collection

Application for Parent's Insurance Benefits - Paper SSA-7-F6 (mailed in)

IC 8887 under ICR 202609-0960-012 · OMB 0960-0012.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-7-F6 Application for Parent's Insurance Benefits Application for Parent's Insurance Benefits - Paper SSA-7-F6 (mailed in)	Form
SSA-7-F6 - Revised Privacy Act Statement.pdf	Other-Revised Privacy Act Statement
SSA-7-F6 Application for Parent's Insurance Benefits SSA-7-F6 - Revised.pdf	Form
SSA-7-F6 - Current Version.pdf SSA-7-F6 - Current	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.370-404.371 20 CFR 404.373-404.374 20 CFR 404.601-404.603

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-7-F6			www.ssa.gov	Yes	No	Fillable Printable
Other-Revised Privacy Act Statement				www.ssa.gov	Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 66

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	66	-263	329
Annual IC Time Burden (Hours)	75	-7	82
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-7-F6 - Current		09/29/2026

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

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