Certificate of Support

OMB 0960-0001

OMB 0960-0001

A parent of a deceased, fully insured worker may be entitled to Social Security Old Age, Survivors, and Disability Insurance (OASDI) benefits based on the earnings record of the deceased worker under certain conditions. One of the conditions is the parent receives at least one-half support from the deceased worker at certain points in time. The one-half support requirement also applies to a spousal applicant in determining whether OASDI benefits are subject to GPO. SSA uses Form SSA-760-F4 to determine if the parent of a deceased worker or a spouse applicant meets the one-half support requirement. Respondents are parents of deceased workers and spouses who may meet the GPO exception.

The latest form for Certificate of Support expires 2021-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material
All Historical Document Collections
Revision of a currently approved collection 2021-11-19
Approved without change
Revision of a currently approved collection 2018-11-07
Approved without change
Revision of a currently approved collection 2015-10-26
Approved without change
Revision of a currently approved collection 2013-01-03
Approved without change
Revision of a currently approved collection 2010-01-04
Approved with change
Revision of a currently approved collection 2007-02-28
Approved without change
Extension without change of a currently approved collection 2004-02-13
Approved without change
Extension without change of a currently approved collection 2001-03-26
Approved without change
Extension without change of a currently approved collection 1998-03-11
Approved without change
Reinstatement without change of a previously approved collection 1995-03-02
Approved without change
Extension without change of a currently approved collection 1991-12-31
Approved without change
Extension without change of a currently approved collection 1989-01-10
Approved without change
Revision of a currently approved collection 1986-03-25
Approved with change
No material or nonsubstantive change to a currently approved collection 1984-08-03
Approved without change
Revision of a currently approved collection 1983-04-05
Approved with change
No material or nonsubstantive change to a currently approved collection 1979-03-28
Approved without change
Extension without change of a currently approved collection 1978-06-20
Approved with change
No material or nonsubstantive change to a currently approved collection 1978-04-19
Approved without change
Extension without change of a currently approved collection 1978-02-01

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