Pre-1957 Military Service Federal Questionnaire

OMB 0960-0120

SSA may grant gratuitous military wage credits for active military or naval service (under certain conditions) during the period September 16, 1940 through December 31, 1956, if no other Federal agency (other than the Veterans Administration) credited the service for benefit eligibility or computation purposes. We use Form SSA-2512 to collect specific information about other Federal, military, or civilian benefits the wage earner may receive when the applicant indicates both pre-1957 military service, and receipt of a Federal benefit. SSA uses the data in the claims adjudication process to grant gratuitous military wage credits when applicable, and to solicit sufficient information to determine eligibility. Respondents are applicants for Social Security benefits on a record where the wage earner claims pre-1957 military service.

The latest form for Pre-1957 Military Service Federal Questionnaire expires 2022-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SSA-2512 Pre-1957 Military Service Federal Questionnaire Form
Addendum - 0120 (Final).docx Supplementary Document
Supporting Statement - 0120 (Final).docx Supporting Statement A
Pre-1957 Military Service Federal Questionnaire Form

All Historical Document Collections

202201-0960-005 Approved without change	Revision of a currently approved collection	2022-05-31
201810-0960-004 Approved without change	Revision of a currently approved collection	2019-02-18
201510-0960-009 Approved without change	Revision of a currently approved collection	2015-12-15
201505-0960-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2015-05-15
201209-0960-017 Approved without change	Revision of a currently approved collection	2012-12-26
200909-0960-009 Approved without change	Revision of a currently approved collection	2009-12-29
200611-0960-001 Approved without change	Extension without change of a currently approved collection	2007-01-30
200402-0960-004 Approved without change	Extension without change of a currently approved collection	2004-02-13
200103-0960-001 Approved without change	Extension without change of a currently approved collection	2001-03-06
199803-0960-003 Approved without change	Extension without change of a currently approved collection	1998-03-05
199502-0960-003 Approved without change	Extension without change of a currently approved collection	1995-02-10
199112-0960-010 Approved without change	Extension without change of a currently approved collection	1991-12-31
198901-0960-010 Approved without change	Extension without change of a currently approved collection	1989-01-27
198603-0960-003 Approved without change	Extension without change of a currently approved collection	1986-03-07
198302-0960-008 Approved without change	Revision of a currently approved collection	1983-02-22
198103-0960-001 Approved without change	Revision of a currently approved collection	1981-03-04
197712-0960-014 Approved with change	No material or nonsubstantive change to a currently approved collection	1977-12-01
197612-0960-001 Approved without change	Revision of a currently approved collection	1976-12-09