OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Application for Search of Census Records for Proof of Age

OMB 0960-0097 · SSA.

OMB 0960-0097

When preferred evidence of age is not available or the available evidence is not convincing, SSA may ask the U.S. Department of Commerce, Bureau of the Census, to search its records to establish a claimant's date of birth. SSA collects information from claimants using Form SSA-1535-U3 to provide the Census Bureau with sufficient identification information to allow an accurate search of census records. Additionally, the Census Bureau uses a completed, signed SSA-1535-U3 to bill SSA for the search. The respondents are applicants for Social Security benefits who need to establish their date of birth as a factor of entitlement.

The latest form for Application for Search of Census Records for Proof of Age expires 2021-02-28 and is listed under ICR 201706-0960-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-1535-U3 Application for Search of Census Records for Proof of AgeForm
Addendum - 0097.docx Supplementary Document
Supporting Statement - 0097.docxSupporting Statement A
Application for Search of Census Records for Proof of Age Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202012-0960-007 Revision of a currently approved collection 2021-01-28 Approved without change
201706-0960-002 Revision of a currently approved collection 2017-09-15 Approved without change
201407-0960-010 Revision of a currently approved collection 2014-10-06 Approved without change
201110-0960-004 Revision of a currently approved collection 2012-01-26 Approved without change
200812-0960-016 Revision of a currently approved collection 2009-04-28 Approved without change
200606-0960-013 Extension without change of a currently approved collection 2006-06-14 Approved without change
200408-0960-011 No material or nonsubstantive change to a currently approved collection 2004-08-10 Approved without change
200309-0960-010 Revision of a currently approved collection 2003-09-22 Approved without change
200008-0960-008 Extension without change of a currently approved collection 2000-08-29 Approved without change
199708-0960-007 Extension without change of a currently approved collection 1997-08-28 Approved without change
199407-0960-007 Extension without change of a currently approved collection 1994-07-29 Approved without change
199105-0960-003 Revision of a currently approved collection 1991-05-23 Approved without change
198908-0960-019 No material or nonsubstantive change to a currently approved collection 1989-08-25 Approved with change
198806-0960-005 Revision of a currently approved collection 1988-06-23 Approved without change
198709-0960-016 No material or nonsubstantive change to a currently approved collection 1987-09-01 Approved with change
198511-0960-012 No material or nonsubstantive change to a currently approved collection 1985-11-01 Approved with change
198505-0960-002 Revision of a currently approved collection 1985-05-30 Approved without change
198210-0960-001 Revision of a currently approved collection 1982-10-27 Approved without change
197903-0960-050 No material or nonsubstantive change to a currently approved collection 1979-03-28 Approved with change
197712-0960-013 Revision of a currently approved collection 1977-12-01 Approved without change
197410-0960-004 Extension without change of a currently approved collection 1974-10-15 Approved without change
197410-0960-003 Extension without change of a currently approved collection 1974-10-22 Approved without change