OMB control number

Request for Proof(s) from Custodian of Records

OMB 0960-0766 · SSA.

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 is listed under ICR 201908-0960-007.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
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All Historical Document Collections

Historical document collections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

OMB Details

SSA-L707 -- State/Local Government

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Information collection instruments
Form	Name	Electronic access	Type
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.