OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Statement Regarding Contributions

OMB 0960-0020 ยท SSA.

OMB 0960-0020

SSA uses the SSA-783 to collect information regarding a child's current sources of support when determining the child's entitlement to Social Security benefits. We request this information from adults acting on behalf of the child claimants who can provide SSA with any sources of support or substantial contributions for the child. These adults inform the claims representative as part of the initial benefits process. If the individual capable of providing the information does not accompany the child claimant, we mail the SSA-783 to the individual for completion, or if the person has access to a computer, we will refer them to SSA's website. The respondents are individuals providing information about a child's sources of support. We are making non-substantive changes for clarity and to correct typographical errors.

The latest form for Statement Regarding Contributions expires 2027-07-31 and is listed under ICR 202509-0960-003.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-783 Statement Regarding ContributionsForm and Instruction
Form SSA-783 Statement Regarding ContributionsForm and Instruction
Justification for Non-substantive Changes to 0960-0020 (Final).docxJustification for No Material/Nonsubstantive Change
Justification for Non-substantive Changes to 0960-0020 (Final).docx Justification for No Material/Nonsubstantive Change
Supporting Statement - 0020 (Final).docxSupporting Statement A
Supporting Statement - 0020 (Final).docxSupporting Statement A
Statement Regarding Contributions Form and Instruction
Statement Regarding Contributions Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202509-0960-003 No material or nonsubstantive change to a currently approved collection 2025-12-18 Approved without change
202008-0960-012 Revision of a currently approved collection 2020-11-16
201704-0960-001 Revision of a currently approved collection 2017-07-03 Approved without change
201511-0960-005 No material or nonsubstantive change to a currently approved collection 2015-11-11 Approved without change
201403-0960-004 Revision of a currently approved collection 2014-07-08 Approved without change
201102-0960-009 Revision of a currently approved collection 2011-06-02 Approved without change
200807-0960-002 Extension without change of a currently approved collection 2008-07-23 Approved without change
200506-0960-003 Extension without change of a currently approved collection 2005-06-29 Approved without change
200204-0960-003 Revision of a currently approved collection 2002-04-29 Approved without change
200007-0960-005 Extension without change of a currently approved collection 2000-07-28 Approved without change
199708-0960-006 Extension without change of a currently approved collection 1997-08-28 Approved without change
199407-0960-005 Extension without change of a currently approved collection 1994-07-22 Approved without change
199106-0960-001 Extension without change of a currently approved collection 1991-06-26 Approved without change
198906-0960-013 No material or nonsubstantive change to a currently approved collection 1989-06-15 Approved with change
198904-0960-019 No material or nonsubstantive change to a currently approved collection 1989-04-11 Approved with change
198904-0960-016 No material or nonsubstantive change to a currently approved collection 1989-04-07 Approved with change
198808-0960-004 Extension without change of a currently approved collection 1988-08-18 Approved without change
198508-0960-005 Extension without change of a currently approved collection 1985-08-09 Approved without change
198211-0960-010 Revision of a currently approved collection 1982-11-17 Approved without change
197805-0960-005 Extension without change of a currently approved collection 1978-05-24 Approved without change
197803-0960-005 Extension without change of a currently approved collection 1978-03-21 Approved without change
197802-0960-009 Extension without change of a currently approved collection 1978-02-01 Approved without change