OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Statement Regarding Marriage

OMB 0960-0017 · SSA.

OMB 0960-0017

Some State laws recognize marriages entered into without a ceremony (called common-law marriages). SSA uses Form SSA–753 to obtain third-party statements about intent and cohabitation, which are the basic tenets for determining if a relationship is a common-law marriage. SSA ultimately uses the information to determine if a valid marital relationship exists for entitlement to spouse/widow(er) benefits. The respondents are third party individuals/households. We are making non-substantive changes to make the form a fillable PDF.

The latest form for Statement Regarding Marriage expires 2029-05-31 and is listed under ICR 202601-0960-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-753 Statement Regarding MarriageForm
Form SSA-753 Statement Regarding MarriageForm
Addendum 0960-0017.docxSupplementary Document
Supporting Statement 0960-0017.docxSupporting Statement A
Statement Regarding Marriage Form
Statement Regarding Marriage Form
SSA-753 Statement Regarding Marriage (Upload Documents) Form
SSA-753 Statement Regarding Marriage (Upload Documents) Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202601-0960-002 Revision of a currently approved collection 2026-03-23
202007-0960-001 Revision of a currently approved collection 2020-08-21
201702-0960-002 Revision of a currently approved collection 2017-05-15 Approved without change
201510-0960-004 No material or nonsubstantive change to a currently approved collection 2015-10-16 Approved without change
201402-0960-001 Revision of a currently approved collection 2014-05-20 Approved without change
201102-0960-003 Revision of a currently approved collection 2011-06-02 Approved without change
200810-0960-009 No material or nonsubstantive change to a currently approved collection 2008-11-20 Approved without change
200804-0960-007 Extension without change of a currently approved collection 2008-07-23 Approved without change
200505-0960-006 Extension without change of a currently approved collection 2005-05-26 Approved without change
200203-0960-002 Extension without change of a currently approved collection 2002-03-11 Approved without change
199901-0960-003 Extension without change of a currently approved collection 1999-01-22 Approved without change
199512-0960-007 Extension without change of a currently approved collection 1995-12-26 Approved without change
199211-0960-005 Extension without change of a currently approved collection 1992-11-27 Approved without change
198910-0960-002 Extension without change of a currently approved collection 1989-10-16 Approved without change
198612-0960-002 Extension without change of a currently approved collection 1986-12-11 Approved without change
198403-0960-003 Revision of a currently approved collection 1984-03-14 Approved without change
198202-0960-006 Revision of a currently approved collection 1982-02-16 Approved without change
197806-0960-013 Revision of a currently approved collection 1978-06-26 Approved without change
197412-0960-001 Extension without change of a currently approved collection 1974-12-16 Approved without change

OMB Details

Statement Regarding Marriage

Federal Enterprise Architecture: Income Security - Survivor Compensation

Information collection instruments
FormNameElectronic accessType
Form SSA-753Statement Regarding MarriageFillable Fileable SignableForm

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