OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Marriage Certification

OMB 0960-0009 · SSA.

OMB 0960-0009

Sections 202(b) and 202(c) of the Social Security Act (Act) stipulate that every spouse of an individual entitled to Old Age, Survivors, and Disability Insurance (OASDI) benefits is entitled to a spouse benefit if the wife or husband, in addition to meeting the entitlement requirements, meets the relationship criteria in Section 216(h)(1)(A) and (B) of the Act. SSA uses Form SSA-3 to determine if a spouse claimant has the necessary relationship to the Social Security number holder (i.e., the worker) to qualify for the worker’s OASDI benefits. The respondents are applicants for spouse’s OASDI benefits.

The latest form for Marriage Certification expires 2027-07-31 and is listed under ICR 202007-0960-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-3 Marriage CertificationForm
Form SSA-3 Marriage CertificationForm
Addendum - 0009.docxSupplementary Document
Addendum - 0009.docx Supplementary Document
Supporting Statement - 0009 (Final).docxSupporting Statement A
Supporting Statement - 0009.docxSupporting Statement A
Marriage Certification Form
Marriage Certification Form
Marriage Certification Other-Revised Privacy Act Statement

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202007-0960-002 Revision of a currently approved collection 2020-08-20
201703-0960-009 Revision of a currently approved collection 2017-06-09 Approved without change
201508-0960-001 No material or nonsubstantive change to a currently approved collection 2015-08-13 Approved without change
201403-0960-012 Revision of a currently approved collection 2014-07-08 Approved without change
201105-0960-006 Revision of a currently approved collection 2011-08-04 Approved without change
200809-0960-001 Revision of a currently approved collection 2008-11-12 Approved without change
200510-0960-002 Extension without change of a currently approved collection 2005-10-12 Approved without change
200209-0960-003 Extension without change of a currently approved collection 2002-09-09 Approved with change
199907-0960-001 Extension without change of a currently approved collection 1999-07-15 Approved without change
199606-0960-005 Revision of a currently approved collection 1996-06-12 Approved without change
199302-0960-008 Extension without change of a currently approved collection 1993-02-16 Approved without change
199001-0960-002 Extension without change of a currently approved collection 1990-01-23 Approved without change
198703-0960-002 Extension without change of a currently approved collection 1987-03-11 Approved without change
198405-0960-012 Extension without change of a currently approved collection 1984-05-22 Approved without change
198107-0960-012 No material or nonsubstantive change to a currently approved collection 1981-07-17 Approved with change
198102-0960-008 No material or nonsubstantive change to a currently approved collection 1981-02-28 Approved with change
198002-0960-009 No material or nonsubstantive change to a currently approved collection 1980-02-25 Approved with change
197910-0960-002 Revision of a currently approved collection 1979-10-19 Approved without change
197909-0960-014 No material or nonsubstantive change to a currently approved collection 1979-09-28 Approved with change
197903-0960-038 No material or nonsubstantive change to a currently approved collection 1979-03-28 Approved with change
197405-0960-001 New collection (Request for a new OMB Control Number) 1974-05-24 Approved without change