OMB control number

Claim for Amounts Due in the Case of a Deceased Beneficiary

OMB 0960-0101 · SSA.

OMB 0960-0101

Section 204(d) of the Act provides that if an individual dies before payment under Title II is complete, or before a Medicare premium refund is due, SSA will pay the amount due (including the amount of any check not negotiated) to people who meet specified qualifications under an order of priority. When a Social Security payment, or Medicare premium, was due to a deceased beneficiary at the time of death, and there is insufficient information in the file to identify the people entitled to the payment, or their addresses, SSA asks the surviving spouse, next of kin, or legal representative of the estate to complete Form SSA-1724, Claim for Amounts Due in the Case of a Deceased Beneficiary. SSA collects the information when a surviving child(ren), parent(s), or spouse is not already entitled to a monthly benefit on the same earnings record, or is not filing for a lump-sum death payment as a former spouse. SSA uses the information Form SSA-1724 provides to ensure proper payment of an underpayment due to a deceased beneficiary. The respondents are applicants for Title II underpayments or Medicare premium refunds owed to deceased beneficiaries.

The latest form for Claim for Amounts Due in the Case of a Deceased Beneficiary expires 2027-08-31 and is listed under ICR 202104-0960-003.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202104-0960-003 Revision of a currently approved collection 2021-06-25 Approved with change
201712-0960-005 Revision of a currently approved collection 2018-05-10 Approved without change
201511-0960-011 No material or nonsubstantive change to a currently approved collection 2015-12-30 Approved without change
201501-0960-013 Extension without change of a currently approved collection 2015-04-28 Approved without change
201204-0960-012 Revision of a currently approved collection 2012-07-19 Approved without change
200902-0960-020 Revision of a currently approved collection 2009-07-16 Approved without change
200901-0960-003 No material or nonsubstantive change to a currently approved collection 2009-01-16 Approved without change
200606-0960-019 Revision of a currently approved collection 2006-06-15 Approved with change
200306-0960-008 Extension without change of a currently approved collection 2003-06-26 Approved without change
200005-0960-004 Extension without change of a currently approved collection 2000-05-03 Approved without change
199706-0960-006 Extension without change of a currently approved collection 1997-06-13 Approved without change
199404-0960-002 Extension without change of a currently approved collection 1994-04-06 Approved without change
199102-0960-001 Extension without change of a currently approved collection 1991-02-06 Approved without change
199002-0960-007 Extension without change of a currently approved collection 1990-02-15 Approved without change
198904-0960-028 No material or nonsubstantive change to a currently approved collection 1989-04-21 Approved with change
198703-0960-007 Extension without change of a currently approved collection 1987-03-11 Approved without change
198404-0960-003 Revision of a currently approved collection 1984-04-10 Approved without change
198401-0960-004 Extension without change of a currently approved collection 1984-01-27 Approved without change
198012-0960-006 Revision of a currently approved collection 1980-12-31 Approved without change
197610-0960-001 Revision of a currently approved collection 1976-10-19 Approved without change