Request for Proof(s) from Custodian of Records

OMB 0960-0766

SSA sends records custodians the SSA-L707 on behalf of individuals who need help obtaining evidence of death, marriage, or divorce in connection with claims for benefits. SSA uses the information from the SSA-L707 to determine eligibility for benefits. The respondents are records custodians including statistics and religious entities, coroners, funeral directors, attending physicians, and State agencies.

The latest form for Request for Proof(s) from Custodian of Records expires 2023-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SSA-L707 SSA-L707 -- Private Sector Form
Form SSA-L707 SSA-L707 -- State/Local Government Form
Supporting Statement - 0766.docx Supporting Statement A
Addendum - 0766.docx Supplementary Document
SSA-L707 -- Private Sector Form
SSA-L707 -- State/Local Government Form

All Historical Document Collections

201908-0960-007 Approved with change	Revision of a currently approved collection	2020-01-13
201607-0960-016 Approved without change	Revision of a currently approved collection	2016-11-21
201307-0960-001 Approved without change	Revision of a currently approved collection	2013-10-28
201006-0960-007 Approved without change	Revision of a currently approved collection	2010-10-15
200708-0960-009 Approved without change	Existing collection in use without an OMB Control Number	2007-11-06

OMB Details

SSA-L707 -- State/Local Government

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-L707

Request for Proof(s) from Custodian of Records

Paper Only

Form

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