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Federal forms, ICRs, and supporting documents

Information Collection Request

Application for a Social Security Card; Enumeration at Birth; 20 CFR 422.103 - .110

ICR 200309-0960-013 · 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
9000 Application for a Social Security Card; Enumeration at Birth; 20 CFR 422.103 - .110 Form Migrated
ICR Details
0960-0066 200309-0960-013
Historical Active 200303-0960-010
SSA
Application for a Social Security Card; Enumeration at Birth; 20 CFR 422.103 - .110
Revision of a currently approved collection   No
Regular
Approved without change 10/16/2003
Retrieve Notice of Action (NOA) 09/24/2003
  Inventory as of this Action Requested Previously Approved
10/31/2006 10/31/2006 03/31/2004
18,096,000 0 18,026,800
1,987,533 0 1,991,667
7,951,000 0 7,376,339,000
SSA collects information and evidence neeeded to issue original and replacement SSN cards. SSA uses the information to establish enumeration records using certain elements of personal information that uniquely identify each individual number holder. The SSN is used by SSA to correctly identify an individual's records, which contain the amount of wages paid, the amount of self-employment income received by each individual and the periods during which payments were made, as well as to pay benefits administered by SSA.
None
None
No
1
IC Title Form No. Form Name
Application for a Social Security Card; Enumeration at Birth; 20 CFR 422.103 - .110 SS-5, SS-5-FS
  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 18,096,000 18,026,800 0 0 69,200 0
Annual Time Burden (Hours) 1,987,533 1,991,667 0 0 -4,134 0
Annual Cost Burden (Dollars) 7,951,000 7,376,339,000 0 0 -7,368,388,000 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.
09/24/2003