OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Application for Parent's Insurance Benefits

OMB 0960-0012 · SSA.

OMB 0960-0012

SSA uses the information gathered by each benefit application to determine eligibility for Social Security benefits and the amount of the benefits. This information collection is voluntary. However, the collection of this information is mandatory for SSA to award or deny monthly benefits as parents of a deceased worker. The public can apply for this benefit using one of two modalities: (1) a paper application (Form SSA-7-F6); or (2) a field office interview (in person or by telephone), during which SSA employees enter applicant data directly into the Modernized Claims System (MCS). The respondents are applicants filing for Parent’s Insurance Benefits.

The latest form for Application for Parent's Insurance Benefits expires 2026-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form
Form
Supporting Statement A
Supporting Statement A
Supplementary Document
Supplementary Document
All Historical Document Collections
Approved without change
 Revision of a currently approved collection 2021-09-30
Approved without change
 No material or nonsubstantive change to a currently approved collection 2019-02-13
Approved without change
 Revision of a currently approved collection 2018-06-25
Approved without change
 No material or nonsubstantive change to a currently approved collection 2016-07-04
Approved with change
 Revision of a currently approved collection 2015-05-28
Approved without change
 Revision of a currently approved collection 2012-05-02
Approved with change
 Revision of a currently approved collection 2009-04-02
Approved without change
 No material or nonsubstantive change to a currently approved collection 2008-05-19
Approved without change
 No material or nonsubstantive change to a currently approved collection 2006-09-01
Approved with change
 Revision of a currently approved collection 2006-02-14
Approved without change
 Revision of a currently approved collection 2002-12-23
Approved without change
 Extension without change of a currently approved collection 1999-08-04
Approved without change
 Extension without change of a currently approved collection 1996-08-13
Approved without change
 Extension without change of a currently approved collection 1993-07-26
Approved without change
 Extension without change of a currently approved collection 1990-05-16
Approved with change
 No material or nonsubstantive change to a currently approved collection 1989-06-16
Approved without change
 Extension without change of a currently approved collection 1987-07-27
Approved without change
 Revision of a currently approved collection 1984-10-19
Approved without change
 Revision of a currently approved collection 1982-09-29
Approved without change
 Revision of a currently approved collection 1981-10-02
Approved without change
 Revision of a currently approved collection 1980-08-20
Approved without change
 Revision of a currently approved collection 1979-12-14
Approved with change
 No material or nonsubstantive change to a currently approved collection 1979-09-28
Approved with change
 No material or nonsubstantive change to a currently approved collection 1979-03-28
Approved with change
 No material or nonsubstantive change to a currently approved collection 1978-09-28
Approved without change
 Revision of a currently approved collection 1978-07-26