View Information Collection Request (ICR) Package

OMB Control No: 0960-0665	ICR Reference No: 202609-0960-003
Status: Active	Previous ICR Reference No: 202405-0960-006
Agency/Subagency: SSA	Agency Tracking No:
Title: Report of Deceased Individual's Social Security Record
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/08/2026
	Date Received in OIRA: 09/28/2026
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2028	03/31/2028	03/31/2028
Responses	50,000	0	50,000
Time Burden (Hours)	6,003	0	6,003
Cost Burden (Dollars)	1,450,000	0	1,450,000

Abstract: When a member of the public requests a 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 Xpress (FOIAXpress) website, to: (1) verify the wage earner is deceased; and (2) access the correct Social Security record. Respondents learn of the possibility for these requests via Agency mailers; multi-media commercials and advertising; SSA’s general website; a link from the mySocial Security landing page; as well as from other individuals. SSA is constantly reviewing our outreach tactics to assure maximum exposure and accessibility to all individuals who need this service. Our website and mailers list the information respondents need to apply for requests. Respondents are members of the public requesting deceased individuals’ Social Security Records. We are doing a non-substantive change request to add an electronic link to the form for submission, updating the fees throughout the form from $23.00 to $27.00.and updating the component name of the forward to and Forward Express Mail to address line on number 7 and 8.

Authorizing Statute(s): US Code: 5 USC 552 Name of Law: Public Information; agency rules, opinions, orders, records, and proceedings
PL: Pub.L. 114 - 185 337 Name of Law: Freedom of Information Act (FOIA)

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 55666	07/05/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 88105	11/06/2024
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Deceased Individual's Social Security Records, SSA-711 (Paper Form)	SSA-711
Request for Deceased Individual's Social Security Record

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	50,000	50,000
Annual Time Burden (Hours)	6,003	6,003
Annual Cost Burden (Dollars)	1,450,000	1,450,000

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There are no changes to the public reporting burden. * Note: The total burden reflected in ROCIS is 6,003, while the burden cited in #12 of the Supporting Statement is 5,833. This discrepancy is because the ROCIS burden reflects the following components: field office waiting time + a rough estimate of a 30-minute, one-way, drive burden. In contrast, the chart in #12 of the Supporting Statement reflects actual burden. We are also showing a decrease in the total burden in ROCIS due to revisions to the wait time and one-way drive burdens for our information collections (we needed to remove the wait time and drive time which we inadvertently included for the Internet submissions and add them to the paper submissions. This caused an overall burden reduction of 24,830 hours, as respondents who use the Internet to submit their requests do not need to drive to a field office or wait for help from field office staff.

Annual Cost to Federal Government: $143,420

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov

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