Application for Parent's Insurance Benefits

OMB 0960-0012

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.

All Historical Document Collections
Approved without change
Revision of a currently approved collection 2021-09-30
Approved without change
No material or nonsubstantive change to a currently approved collection 2019-02-13
Approved without change
Revision of a currently approved collection 2018-06-25
Approved without change
No material or nonsubstantive change to a currently approved collection 2016-07-04
Approved with change
Revision of a currently approved collection 2015-05-28
Approved without change
Revision of a currently approved collection 2012-05-02
Approved with change
Revision of a currently approved collection 2009-04-02
Approved without change
No material or nonsubstantive change to a currently approved collection 2008-05-19
Approved without change
No material or nonsubstantive change to a currently approved collection 2006-09-01
Approved with change
Revision of a currently approved collection 2006-02-14
Approved without change
Revision of a currently approved collection 2002-12-23
Approved without change
Extension without change of a currently approved collection 1999-08-04
Approved without change
Extension without change of a currently approved collection 1996-08-13
Approved without change
Extension without change of a currently approved collection 1993-07-26
Approved without change
Extension without change of a currently approved collection 1990-05-16
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-06-16
Approved without change
Extension without change of a currently approved collection 1987-07-27
Approved without change
Revision of a currently approved collection 1984-10-19
Approved without change
Revision of a currently approved collection 1982-09-29
Approved without change
Revision of a currently approved collection 1981-10-02
Approved without change
Revision of a currently approved collection 1980-08-20
Approved without change
Revision of a currently approved collection 1979-12-14
Approved with change
No material or nonsubstantive change to a currently approved collection 1979-09-28
Approved with change
No material or nonsubstantive change to a currently approved collection 1979-03-28
Approved with change
No material or nonsubstantive change to a currently approved collection 1978-09-28
Approved without change
Revision of a currently approved collection 1978-07-26

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