Report of Deceased Individual's Social Security Record

OMB 0960-0665

OMB 0960-0665

When a member of the public requests an individual’s 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 (eFOIA) website, to: (1) verify the wage earner is deceased; and (2) access the correct Social Security record. Respondents are members of the public requesting deceased individuals’ Social Security records. We are submitting this non-substantive Change Request to change the fees listed on the form.

The latest form for Report of Deceased Individual's Social Security Record expires 2021-10-31 and can be found here.

OMB Details

Report of Deceased Individual's Social Security Record

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-711Request for Deceased Individual's Social Security RecordFillable PrintableForm

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