Statement Regarding Marriage

OMB 0960-0017

OMB 0960-0017

Some State laws recognize marriages entered into without a ceremony (called common-law marriages). SSA uses Form SSA–753 to obtain third-party statements about intent and cohabitation, which are the basic tenets for determining if a relationship is a common-law marriage. SSA ultimately uses the information to determine if a valid marital relationship exists for entitlement to spouse/widow(er) benefits. The respondents are third party individuals/households. We are making non-substantive changes to make the form a fillable PDF.

The latest form for Statement Regarding Marriage expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material
All Historical Document Collections
Revision of a currently approved collection 2020-08-21
Approved without change
Revision of a currently approved collection 2017-05-15
Approved without change
No material or nonsubstantive change to a currently approved collection 2015-10-16
Approved without change
Revision of a currently approved collection 2014-05-20
Approved without change
Revision of a currently approved collection 2011-06-02
Approved without change
No material or nonsubstantive change to a currently approved collection 2008-11-20
Approved without change
Extension without change of a currently approved collection 2008-07-23
Approved without change
Extension without change of a currently approved collection 2005-05-26
Approved without change
Extension without change of a currently approved collection 2002-03-11
Approved without change
Extension without change of a currently approved collection 1999-01-22
Approved without change
Extension without change of a currently approved collection 1995-12-26
Approved without change
Extension without change of a currently approved collection 1992-11-27
Approved without change
Extension without change of a currently approved collection 1989-10-16
Approved without change
Extension without change of a currently approved collection 1986-12-11
Approved without change
Revision of a currently approved collection 1984-03-14
Approved without change
Revision of a currently approved collection 1982-02-16
Approved without change
Revision of a currently approved collection 1978-06-26
Approved without change
Extension without change of a currently approved collection 1974-12-16

© 2024 OMB.report | Privacy Policy