OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Statement Regarding Date of Birth and Citizenship

OMB 0960-0016 ยท SSA.

OMB 0960-0016

SSA uses Form SSA-702 to collect information when preferred or other evidence is not available to prove age or citizenship for an individual applying for Social Security benefits. SSA uses this form for individuals who must establish age as a factor of entitlement or U.S. citizenship as a payment factor. Respondents are individuals with knowledge about the date of birth or citizenship of applicants for one or more Social Security benefits who need to establish their dates of birth as a factor of entitlement or U.S. citizenship as a factor of payment.

The latest form for Statement Regarding Date of Birth and Citizenship expires 2020-12-31 and is listed under ICR 201705-0960-005.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-702 Statement Regarding Date of Birth and CitizenshipForm
Supporting Statement - 0016.docxSupporting Statement A
0016 Addendum.doc Supplementary Document
Statement Regarding Date of Birth and Citizenship Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201705-0960-005 Revision of a currently approved collection 2017-09-01 Approved without change
201404-0960-012 Revision of a currently approved collection 2014-07-25 Approved without change
201105-0960-005 Revision of a currently approved collection 2011-08-04 Approved without change
200806-0960-006 Extension without change of a currently approved collection 2008-10-29 Approved without change
200508-0960-003 Extension without change of a currently approved collection 2005-08-22 Approved without change
200207-0960-006 Extension without change of a currently approved collection 2002-07-12 Approved without change
199906-0960-004 Extension without change of a currently approved collection 1999-06-04 Approved without change
199606-0960-006 Extension without change of a currently approved collection 1996-06-11 Approved without change
199305-0960-002 Extension without change of a currently approved collection 1993-05-03 Approved without change
199104-0960-001 Revision of a currently approved collection 1991-04-30 Approved without change
198908-0960-011 No material or nonsubstantive change to a currently approved collection 1989-08-25 Approved with change
198806-0960-007 Revision of a currently approved collection 1988-06-30 Approved without change
198709-0960-020 No material or nonsubstantive change to a currently approved collection 1987-09-01 Approved with change
198507-0960-002 Extension without change of a currently approved collection 1985-07-19 Approved without change
198211-0960-001 Revision of a currently approved collection 1982-11-02 Approved without change
197811-0960-003 Revision of a currently approved collection 1978-11-21 Approved without change
197804-0960-010 No material or nonsubstantive change to a currently approved collection 1978-04-19 Approved with change
197802-0960-010 Extension without change of a currently approved collection 1978-02-01 Approved without change