Application for Lump-Sum Death Payment

OMB 0960-0013

OMB 0960-0013

SSA uses Form SSA-8 to collect information needed to authorize payment of the lump sum death payment (LSDP) to a widow, widower, or children as defined in section 202(i) of the Social Security Act (Act). Respondents complete the application for this one-time payment through use of the paper form, or person interview with an SSA employee either via telephone, or in person in a field office. For all personal interviews (either telephone or in-person), we collect the information in our electronic Modernized Claim System (MCS) or via our Intranet-based Preliminary Claims System (PCS) which mirrors the MCS screens. Respondents are applicants for the LSDP.

The latest form for Application for Lump-Sum Death Payment expires 2022-10-31 and can be found here.

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OMB Details

Application for Lump-Sum Death Payment - Paper

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-8Application For Lump-Sum Death PaymentFillable PrintableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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