Information about Joint Checking/Savings Account

OMB 0960-0461

OMB 0960-0461

SSA uses Form SSA-2574 to collect information about checking or savings accounts from both the SSI applicants and recipients, and any other account holder(s) listed on the account. After receiving the completed form, SSA can determine if we should consider the account as a resource for the SSI applicant or recipient. We use Form SSA-2574 to obtain the information via personal interview, or by mail, from the SSI applicant or recipient and from the joint owner of the account. The respondents may complete the form by themselves or with help from SSA employees. Respondents are SSI applicants and recipients, and individuals who list themselves as joint owners of financial accounts with SSI applicants and recipients.

The latest form for Information about Joint Checking/Savings Account expires 2022-09-30 and can be found here.

OMB Details

Information About Joint Checking/Savings Account - Paper Version

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-2574Information About Joint Checking/Savings AccountsPaper OnlyForm

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