Application for Parent's Insurance Benefits

OMB 0960-0012

SSA uses information from Form SSA-7-F6 to determine whether the claimant meets the eligibility and application criteria. The respondents are applicants and recipients of Social Security Old Age, Survivors, and Disability Insurance benefits. This is a non-substantive Change Request to include the new Preliminary Claims System screens.

The latest form for Application for Parent's Insurance Benefits expires 2021-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SSA-7-F6 - Revised Application for Parent's Insurance Benefits / Modernized Claims System (MCS) / Signature Proxy / SSA-7-F6 Form
Supporting Statement - 0012 (Final).docx Supporting Statement A
Addendum - 0012 (Final).docx Supplementary Document
Application for Parent's Insurance Benefits / Modernized Claims System (MCS) / Signature Proxy / SSA-7-F6 Form

All Historical Document Collections

202105-0960-008 Approved without change	Revision of a currently approved collection	2021-09-30
201902-0960-009 Approved without change	No material or nonsubstantive change to a currently approved collection	2019-02-13
201801-0960-007 Approved without change	Revision of a currently approved collection	2018-06-25
201604-0960-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-07-04
201502-0960-007 Approved with change	Revision of a currently approved collection	2015-05-28
201112-0960-004 Approved without change	Revision of a currently approved collection	2012-05-02
200811-0960-003 Approved with change	Revision of a currently approved collection	2009-04-02
200805-0960-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-05-19
200608-0960-021 Approved without change	No material or nonsubstantive change to a currently approved collection	2006-09-01
200602-0960-009 Approved with change	Revision of a currently approved collection	2006-02-14
200212-0960-010 Approved without change	Revision of a currently approved collection	2002-12-23
199908-0960-002 Approved without change	Extension without change of a currently approved collection	1999-08-04
199608-0960-005 Approved without change	Extension without change of a currently approved collection	1996-08-13
199307-0960-007 Approved without change	Extension without change of a currently approved collection	1993-07-26
199005-0960-005 Approved without change	Extension without change of a currently approved collection	1990-05-16
198906-0960-018 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-06-16
198707-0960-005 Approved without change	Extension without change of a currently approved collection	1987-07-27
198410-0960-005 Approved without change	Revision of a currently approved collection	1984-10-19
198209-0960-004 Approved without change	Revision of a currently approved collection	1982-09-29
198110-0960-004 Approved without change	Revision of a currently approved collection	1981-10-02
198008-0960-007 Approved without change	Revision of a currently approved collection	1980-08-20
197912-0960-002 Approved without change	Revision of a currently approved collection	1979-12-14
197909-0960-008 Approved with change	No material or nonsubstantive change to a currently approved collection	1979-09-28
197903-0960-026 Approved with change	No material or nonsubstantive change to a currently approved collection	1979-03-28
197809-0960-014 Approved with change	No material or nonsubstantive change to a currently approved collection	1978-09-28
197807-0960-004 Approved without change	Revision of a currently approved collection	1978-07-26