OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Statement of Marital Relationship

OMB 0960-0038 ยท SSA.

OMB 0960-0038

In states where no formal marriage documentation exists, SSA uses the information we collect on Form SSA-754-F5 to determine if an individual applying for spousal benefits meets the criteria of common-law marriage under state law. The respondents are applicants for spousal Social Security benefits.

The latest form for Statement of Marital Relationship expires 2027-09-30 and is listed under ICR 202010-0960-006.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-754-F5 Statement of Marital RelationshipForm
Form SSA-754-F5 Statement of Marital RelationshipForm
Addendum - 0038.docxSupplementary Document
Addendum - 0038.docx Supplementary Document
Supporting Statement - 0038.docxSupporting Statement A
Supporting Statement - 0038.docxSupporting Statement A
Statement of Marital Relationship Form
Statement of Marital Relationship Form
Statement of Marital Relationship Other-Revised PA & PRA Statements

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202010-0960-006 Revision of a currently approved collection 2021-01-28
201707-0960-001 Revision of a currently approved collection 2017-10-20 Approved without change
201510-0960-006 No material or nonsubstantive change to a currently approved collection 2015-10-26 Approved without change
201408-0960-006 Extension without change of a currently approved collection 2014-11-05 Approved without change
201109-0960-012 Revision of a currently approved collection 2012-02-02 Approved without change
200809-0960-007 Revision of a currently approved collection 2009-03-05 Approved without change
200601-0960-001 Extension without change of a currently approved collection 2006-01-17 Approved without change
200212-0960-008 Extension without change of a currently approved collection 2002-12-19 Approved without change
199910-0960-002 Extension without change of a currently approved collection 1999-10-12 Approved without change
199609-0960-005 Extension without change of a currently approved collection 1996-09-20 Approved without change
199308-0960-004 Extension without change of a currently approved collection 1993-08-25 Approved without change
199008-0960-001 Extension without change of a currently approved collection 1990-08-08 Approved without change
198904-0960-029 No material or nonsubstantive change to a currently approved collection 1989-04-24 Approved with change
198710-0960-001 Extension without change of a currently approved collection 1987-10-02 Approved without change
198412-0960-003 Extension without change of a currently approved collection 1984-12-05 Approved without change
198203-0960-001 Extension without change of a currently approved collection 1982-03-04 Approved without change
197806-0960-014 Revision of a currently approved collection 1978-06-26 Approved without change
197412-0960-002 Extension without change of a currently approved collection 1974-12-16 Approved without change