Application for Survivor's Benefits

OMB 0960-0062

Surviving family members of armed services personnel can file for benefits at SSA or the Veterans Administration (VA) to be considered for benefits at either agency. If applicants go to the VA first, they complete form SSA-24, the Application for Survivor's Benefits. The VA then forwards form SSA-24 to SSA for processing. If applicants previously filed for benefits at SSA, the agency disregards this form. The respondents are survivors of deceased armed services personnel who are applying for benefits at the VA.

The latest form for Application for Survivor's Benefits expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form VA Form 21-534 Application for Survivor's Benefits Form
Supporting Statement - 0062.docx Supporting Statement A
Addendum - 0062.docx Supplementary Document
Application for Survivor's Benefits Form

All Historical Document Collections

202004-0960-005	Revision of a currently approved collection	2020-08-05
201612-0960-003 Approved without change	Revision of a currently approved collection	2017-03-27
201602-0960-015 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-03-16
201312-0960-006 Approved without change	Revision of a currently approved collection	2014-04-03
201101-0960-002 Approved without change	Revision of a currently approved collection	2011-03-31
200806-0960-002 Approved without change	Extension without change of a currently approved collection	2008-06-24
200503-0960-005 Approved without change	Extension without change of a currently approved collection	2005-03-15
200203-0960-005 Approved without change	Revision of a currently approved collection	2002-03-27
200112-0960-004 Withdrawn and continue	Extension without change of a currently approved collection	2001-12-05
199811-0960-003 Approved without change	Extension without change of a currently approved collection	1998-11-13
199511-0960-001 Approved without change	Extension without change of a currently approved collection	1995-11-05
199209-0960-002 Approved without change	Revision of a currently approved collection	1992-09-11
198908-0960-004 Approved without change	Revision of a currently approved collection	1989-08-15
198707-0960-008 Approved without change	Revision of a currently approved collection	1987-07-16
198610-0960-003 Approved without change	Extension without change of a currently approved collection	1986-10-22
198310-0960-006 Approved without change	Revision of a currently approved collection	1983-10-28
198208-0960-013 Approved without change	Revision of a currently approved collection	1982-08-26
197903-0960-016 Approved with change	No material or nonsubstantive change to a currently approved collection	1979-03-28
197710-0960-002 Approved without change	Extension without change of a currently approved collection	1977-10-13
197707-0960-001 Approved without change	New collection (Request for a new OMB Control Number)	1977-07-26