OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Report of Deceased Individual's Social Security Record

OMB 0960-0665 · SSA.

OMB 0960-0665

When a member of the public requests a Social Security record, SSA needs the name and address of the requestor as well as a description of the requested record to process the request. SSA uses the information the respondent provides on Form SSA-711, or via an Internet request through SSA’s electronic Freedom of Information Act Xpress (FOIAXpress) website, to: (1) verify the wage earner is deceased; and (2) access the correct Social Security record. Respondents learn of the possibility for these requests via Agency mailers; multi-media commercials and advertising; SSA’s general website; a link from the mySocial Security landing page; as well as from other individuals. SSA is constantly reviewing our outreach tactics to assure maximum exposure and accessibility to all individuals who need this service. Our website and mailers list the information respondents need to apply for requests. Respondents are members of the public requesting deceased individuals’ Social Security Records.

The latest form for Report of Deceased Individual's Social Security Record expires 2028-03-31 and is listed under ICR 202405-0960-006.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-711 Deceased Individual's Social Security Records, SSA-711 (Paper Form)Form
Supporting Statement - 0665 (Final).docxSupporting Statement A
Deceased Individual's Social Security Records, SSA-711 (Paper Form) Form
Request for Deceased Individual's Social Security Record Other-Internet Screens

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202405-0960-006 Revision of a currently approved collection 2024-11-14
202304-0960-002 No material or nonsubstantive change to a currently approved collection 2023-05-09 Approved without change
202210-0960-004 No material or nonsubstantive change to a currently approved collection 2022-10-19 Approved without change
202107-0960-001 Revision of a currently approved collection 2021-09-10 Approved without change
202009-0960-013 No material or nonsubstantive change to a currently approved collection 2020-10-08 Approved without change
201805-0960-014 Revision of a currently approved collection 2018-08-20 Approved without change
201610-0960-001 No material or nonsubstantive change to a currently approved collection 2016-10-07 Approved without change
201607-0960-010 No material or nonsubstantive change to a currently approved collection 2016-08-12 Approved without change
201504-0960-010 Revision of a currently approved collection 2015-09-04 Approved without change
201502-0960-002 No material or nonsubstantive change to a currently approved collection 2015-02-05 Approved without change
201206-0960-004 Revision of a currently approved collection 2012-10-04 Approved without change
200905-0960-003 Revision of a currently approved collection 2009-06-29 Approved without change
200607-0960-002 Extension without change of a currently approved collection 2006-07-10 Approved without change
200212-0960-001 New collection (Request for a new OMB Control Number) 2002-12-02 Approved with change

OMB Details

Deceased Individual's Social Security Records, SSA-711 (Paper Form)

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Information collection instruments
FormNameElectronic accessType
Form SSA-711Request for Deceased Individual's Social Security Recordwww.ssa.govForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.