OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Application for Benefits Under the Italy-U.S. International Social Security Agreements

OMB 0960-0445 · SSA.

OMB 0960-0445

As per the November 1, 1978, totalization agreement between the United States (U.S.) and Italian Social Security agencies, residents of Italy filing an application for U.S. Social Security benefits directly with one of the Italian Social Security agencies must complete Form SSA-2528-IT. SSA uses Form SSA-2528-IT to establish age, relationship, citizenship, marriage, death, and military service, or to evaluate a family bible or other family record when determining eligibility for U.S. benefits. The Italian Social Security agencies assist applicants in completing Form SSA-2528-IT and then forward the application to SSA for processing. The respondents are individuals living in Italy who wish to file for U.S. Social Security benefits.

The latest form for Application for Benefits Under the Italy-U.S. International Social Security Agreements expires 2029-10-31 and is listed under ICR 202608-0960-003.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-2528-IT Application for Benefits Under the Italy-U.S. International Social Security AgreementForm and Instruction
Supporting Statement - 0445 (final).docxSupporting Statement A
Application for Benefits Under the Italy-U.S. International Social Security Agreements Form and Instruction
Application for Benefits Under the Italy-U.S. International Social Security Agreements Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202608-0960-003 Extension without change of a currently approved collection 2026-08-27
202205-0960-006 Revision of a currently approved collection 2022-10-03 Approved without change
201904-0960-004 Revision of a currently approved collection 2019-08-02 Approved without change
201602-0960-010 Revision of a currently approved collection 2016-05-09 Approved without change
201212-0960-002 Revision of a currently approved collection 2013-04-03 Approved without change
200912-0960-006 Revision of a currently approved collection 2010-04-19 Approved without change
200701-0960-019 Extension without change of a currently approved collection 2007-05-01 Approved without change
200406-0960-006 Extension without change of a currently approved collection 2004-06-25 Approved without change
200107-0960-001 Extension without change of a currently approved collection 2001-07-03 Approved without change
199806-0960-012 Extension without change of a currently approved collection 1998-06-16 Approved without change
199505-0960-003 Reinstatement with change of a previously approved collection 1995-05-02 Approved without change
199202-0960-007 Extension without change of a currently approved collection 1992-02-26 Approved without change
198905-0960-001 Revision of a currently approved collection 1989-05-05 Approved without change
198606-0960-003 New collection (Request for a new OMB Control Number) 1986-06-27 Approved without change