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 is listed under ICR 202105-0960-008.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-7-F6 - Revised Application for Parent's Insurance BenefitsForm
Form SSA-7-F6 - Revised Application for Parent's Insurance Benefits / Modernized Claims System (MCS) / Signature Proxy / SSA-7-F6Form
Supporting Statement - 0012 (Final).docxSupporting Statement A
Supporting Statement - 0012 (Final).docxSupporting Statement A
Addendum - 0012 (Final).docxSupplementary Document
Addendum - 0012 (Final).docx Supplementary Document
Application for Parent's Insurance Benefits / Modernized Claims System (MCS) / Signature Proxy / SSA-7-F6 Form
Application for Parent's Insurance Benefits / Modernized Claims System (MCS) / Signature Proxy / SSA-7-F6 Form
Application for Parent's Insurance Benefits / Modernized Claims System (MCS) / Signature Proxy / SSA-7-F6 Other-Electronic Screens

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202105-0960-008 Revision of a currently approved collection 2021-09-30 Approved without change
201902-0960-009 No material or nonsubstantive change to a currently approved collection 2019-02-13 Approved without change
201801-0960-007 Revision of a currently approved collection 2018-06-25 Approved without change
201604-0960-002 No material or nonsubstantive change to a currently approved collection 2016-07-04 Approved without change
201502-0960-007 Revision of a currently approved collection 2015-05-28 Approved with change
201112-0960-004 Revision of a currently approved collection 2012-05-02 Approved without change
200811-0960-003 Revision of a currently approved collection 2009-04-02 Approved with change
200805-0960-008 No material or nonsubstantive change to a currently approved collection 2008-05-19 Approved without change
200608-0960-021 No material or nonsubstantive change to a currently approved collection 2006-09-01 Approved without change
200602-0960-009 Revision of a currently approved collection 2006-02-14 Approved with change
200212-0960-010 Revision of a currently approved collection 2002-12-23 Approved without change
199908-0960-002 Extension without change of a currently approved collection 1999-08-04 Approved without change
199608-0960-005 Extension without change of a currently approved collection 1996-08-13 Approved without change
199307-0960-007 Extension without change of a currently approved collection 1993-07-26 Approved without change
199005-0960-005 Extension without change of a currently approved collection 1990-05-16 Approved without change
198906-0960-018 No material or nonsubstantive change to a currently approved collection 1989-06-16 Approved with change
198707-0960-005 Extension without change of a currently approved collection 1987-07-27 Approved without change
198410-0960-005 Revision of a currently approved collection 1984-10-19 Approved without change
198209-0960-004 Revision of a currently approved collection 1982-09-29 Approved without change
198110-0960-004 Revision of a currently approved collection 1981-10-02 Approved without change
198008-0960-007 Revision of a currently approved collection 1980-08-20 Approved without change
197912-0960-002 Revision of a currently approved collection 1979-12-14 Approved without change
197909-0960-008 No material or nonsubstantive change to a currently approved collection 1979-09-28 Approved with change
197903-0960-026 No material or nonsubstantive change to a currently approved collection 1979-03-28 Approved with change
197809-0960-014 No material or nonsubstantive change to a currently approved collection 1978-09-28 Approved with change
197807-0960-004 Revision of a currently approved collection 1978-07-26 Approved without change