OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Application for Lump-Sum Death Payment

OMB 0960-0013 ยท SSA.

OMB 0960-0013

SSA uses Form SSA-8 to collect information needed to authorize payment of the lump sum death payment (LSDP) to a surviving individual (e.g., widow, widower, or children of the deceased, etc.) as defined in section 202(i) of the Act. Respondents complete the application for this one-time payment through: (1) use of the paper form; (2) the Internet modality through the Universal Benefits Application portal, (3) submission of a completed fillable static PDF webform through our Upload Documents portal (OMB No. 0960 0830), or (4) a personal interview with an SSA employee either via telephone, or in a field office. For all personal interviews (either telephone or in person), we collect the information via our electronic Modernized Claim System (MCS) screens. When a respondent completes the paper Form SSA-8, they mail it back to SSA. The respondents are applicants for the LSDP.

The latest form for Application for Lump-Sum Death Payment expires 2029-08-31 and is listed under ICR 202603-0960-003.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-8 Application For Lump-Sum Death PaymentForm and Instruction
Form SSA-8 Application For Lump-Sum Death PaymentForm and Instruction
Addendum - 0013 (Final).docxSupplementary Document
Supporting Statement - 0013 (Final).docxSupporting Statement A
Supporting Statement - 0013 (Final).docxSupporting Statement A
Application for Lump-Sum Death Payment - Paper & Upload Documents Version Form and Instruction
Application for Lump-Sum Death Payment - Paper & Upload Documents Version Form and Instruction
Application for Lump-Sum Death Payment - Paper & Upload Documents Version Other-Revised PA Statement
Application for Lump-Sum Death Payment--Modernized Claims System (MCS) Other-Internal Use Screens
Application for Lump-Sum Death Payment - Internet Screens (UBA Platform) Other-Internet Screens

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202603-0960-003 Revision of a currently approved collection 2026-06-26
202204-0960-010 Revision of a currently approved collection 2022-09-30 Approved without change
201904-0960-009 Revision of a currently approved collection 2019-08-07 Approved without change
201902-0960-006 No material or nonsubstantive change to a currently approved collection 2019-02-13 Approved without change
201603-0960-004 Revision of a currently approved collection 2016-07-04 Approved without change
201303-0960-013 Revision of a currently approved collection 2013-07-19 Approved without change
201002-0960-004 Revision of a currently approved collection 2010-05-27 Approved without change
200805-0960-011 No material or nonsubstantive change to a currently approved collection 2008-05-19 Approved without change
200609-0960-024 Revision of a currently approved collection 2007-02-20 Approved without change
200608-0960-019 No material or nonsubstantive change to a currently approved collection 2006-09-01 Approved without change
200401-0960-006 Extension without change of a currently approved collection 2004-01-28 Approved without change
200012-0960-002 Extension without change of a currently approved collection 2000-12-13 Approved without change
199709-0960-004 Extension without change of a currently approved collection 1997-09-11 Approved without change
199407-0960-008 Extension without change of a currently approved collection 1994-07-26 Approved without change
199105-0960-002 Extension without change of a currently approved collection 1991-05-20 Approved without change
198905-0960-003 No material or nonsubstantive change to a currently approved collection 1989-05-02 Approved with change
198806-0960-002 Extension without change of a currently approved collection 1988-06-06 Approved without change
198507-0960-001 Revision of a currently approved collection 1985-07-03 Approved without change
198211-0960-006 Revision of a currently approved collection 1982-11-05 Approved without change
198110-0960-013 Revision of a currently approved collection 1981-10-28 Approved without change
198009-0960-003 Revision of a currently approved collection 1980-09-15 Approved without change
198002-0960-005 No material or nonsubstantive change to a currently approved collection 1980-02-25 Approved with change
197911-0960-002 Revision of a currently approved collection 1979-11-08 Approved without change
197909-0960-004 No material or nonsubstantive change to a currently approved collection 1979-09-28 Approved with change
197903-0960-021 No material or nonsubstantive change to a currently approved collection 1979-03-28 Approved with change
197809-0960-013 No material or nonsubstantive change to a currently approved collection 1978-09-28 Approved with change
197807-0960-003 Revision of a currently approved collection 1978-07-11 Approved without change
197804-0960-012 No material or nonsubstantive change to a currently approved collection 1978-04-07 Approved with change
197711-0960-009 No material or nonsubstantive change to a currently approved collection 1977-11-30 Approved with change

OMB Details

Application for Lump-Sum Death Payment - Paper & Upload Documents Version

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Information collection instruments
FormNameElectronic accessType
Form SSA-8Application For Lump-Sum Death Paymentwww.ssa.gov (Upload Documents)Form and instruction

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