Report of Deceased Individual's Social Security Record

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.

Latest Forms, Documents, and Supporting Material

Document Name
Form SSA-711 Deceased Individual's Social Security Records, SSA-711 (Paper Form) Form
Supporting Statement - 0665 (Final).docx Supporting 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All Historical Document Collections

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

OMB Details

Report of Deceased Individual's Social Security Record

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-711

Request for Deceased Individual's Social Security Record

Fillable Printable

Form

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