Information Collection

Application for a Social Security Card, 20 CFR 422.103-.110

IC 9001 under ICR 200510-0960-005 · OMB 0960-0066.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0066 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Application for a Social Security Card, 20 CFR 422.103-.110	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SS-5-FS				No	No
Form	SS-5				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13,584,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	13,584,000	0	-4,512,000	18,096,000
Annual IC Time Burden (Hours)	1,933,000	0	-54,533	1,987,533
Annual IC Cost Burden (Dollars)	8,367,000	416,000	0	7,951,000

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.