OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Certificate of Support

OMB 0960-0001 ยท SSA.

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 when 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 to determine if the parent of a deceased worker or a spouse applicant meets the one-half support requirement. This form is mailed to the claimant with an SSA addressed postage stamp envelop for the claimant to mail back to their Field Office (FO). Respondents are parents of deceased workers and spouses who may meet the GPO exception.

The latest form for Certificate of Support expires 2027-12-31 and is listed under ICR 202105-0960-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-760 Certificate of SupportForm and Instruction
Form SSA-760 Certificate of SupportForm and Instruction
Supporting Statement - 0001 (Final).docxSupporting Statement A
Supporting Statement - 0001 (Final).docxSupporting Statement A
Addendum - 0001 (Final).docxSupplementary Document
Addendum - 0001 (Final).docx Supplementary Document
Certificate of Support Form and Instruction
Certificate of Support Form and Instruction
Certificate of Support Other-Revised PA & PRA Statements

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202105-0960-003 Revision of a currently approved collection 2021-11-19
201807-0960-015 Revision of a currently approved collection 2018-11-07 Approved without change
201509-0960-005 Revision of a currently approved collection 2015-10-26 Approved without change
201209-0960-013 Revision of a currently approved collection 2013-01-03 Approved without change
200910-0960-003 Revision of a currently approved collection 2010-01-04 Approved without change
200701-0960-002 Revision of a currently approved collection 2007-02-28 Approved with change
200402-0960-005 Extension without change of a currently approved collection 2004-02-13 Approved without change
200103-0960-002 Extension without change of a currently approved collection 2001-03-26 Approved without change
199803-0960-004 Extension without change of a currently approved collection 1998-03-11 Approved without change
199503-0960-004 Reinstatement without change of a previously approved collection 1995-03-02 Approved without change
199112-0960-008 Extension without change of a currently approved collection 1991-12-31 Approved without change
198901-0960-002 Extension without change of a currently approved collection 1989-01-10 Approved without change
198603-0960-012 Revision of a currently approved collection 1986-03-25 Approved without change
198408-0960-023 No material or nonsubstantive change to a currently approved collection 1984-08-03 Approved with change
198304-0960-001 Revision of a currently approved collection 1983-04-05 Approved without change
197903-0960-014 No material or nonsubstantive change to a currently approved collection 1979-03-28 Approved with change
197806-0960-002 Extension without change of a currently approved collection 1978-06-20 Approved without change
197804-0960-011 No material or nonsubstantive change to a currently approved collection 1978-04-19 Approved with change
197802-0960-011 Extension without change of a currently approved collection 1978-02-01 Approved without change