OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Application for Survivor's Benefits

OMB 0960-0062 ยท SSA.

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 2027-03-31 and is listed under ICR 202004-0960-005.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form VA Form 21-534 Department of Veterans Affairs: Application for Dependency and Indemnity Compensation, Death Pension and Accured Benefits by a Surving Spouse or Child (Including Death Compensation if Applicable)Form
Form VA Form 21-534 Application for Survivor's BenefitsForm
Form SSA-24 Application for Survivor's BenefitsForm
Supporting Statement - 0062.docxSupporting Statement A
Supporting Statement - 0062.docxSupporting Statement A
Addendum - 0062.docxSupplementary Document
Addendum - 0062.docx Supplementary Document
Application for Survivor's Benefits Form
Application for Survivor's Benefits Form
Application for Survivor's Benefits Form
Application for Survivor's Benefits Other-Revised PA Statement

All Historical Document Collections

Historical document collections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200112-0960-004 Extension without change of a currently approved collection 2001-12-05 Withdrawn and continue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