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Federal forms, ICRs, and supporting documents

Information Collection Request

APPLICATION FOR A SOCIAL SECURITY NUMBER CARD (ORIGINAL REPLACEMENT OR CORRECTION)

ICR 198005-0960-001 · OMB 0960-0066 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
114507 APPLICATION FOR A SOCIAL SECURITY NUMBER CARD (ORIGINAL REPLACEMENT OR CORRECTION) Form Migrated
ICR Details
0960-0066 198005-0960-001
Historical Active 198003-0960-010
SSA
APPLICATION FOR A SOCIAL SECURITY NUMBER CARD (ORIGINAL REPLACEMENT OR CORRECTION)
Revision of a currently approved collection   No
Regular
Approved without change 06/19/1980
Retrieve Notice of Action (NOA) 05/29/1980
  Inventory as of this Action Requested Previously Approved
05/31/1984 05/31/1984 06/30/1980
12,000,000 0 8,000,000
1,600,000 0 400,000
0 0 0
SECTION 205(C)(2)(B) OF THE SOCIAL SECURITY ACT AUTHORIZES ASSIGNMENT OF SOCIAL SECURITY NUMBERS (SSN'S) AND REQUIRES APPROPRIATE CORRECTION OR REVISIONS OF THE RELATED RECORDS ON WHICH THE SSN'S ARE BASED. THE FORM IS USED TO IDENTIFY EACH INDIVIDUAL APPLICANT AND DISTINGUISH THAT APPLICANT FROM ALL OTHER NUMBER HOLDERS.
None
None
No
1
IC Title Form No. Form Name
APPLICATION FOR A SOCIAL SECURITY NUMBER CARD (ORIGINAL REPLACEMENT OR CORRECTION) SS-5
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 12,000,000 8,000,000 0 0 4,000,000 0
Annual Time Burden (Hours) 1,600,000 400,000 0 0 1,200,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/29/1980