OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Application for a Social Security Card

IC 9002 under ICR 200903-0960-003 · OMB 0960-0066.

Documents and Forms
Document Name
Document Type
Other-SSA Field Office Internal-Use
Other-Revised PA Statement
Form and Instruction
Form and Instruction
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Application for a Social Security Card
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 422.103-.110

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Revised PA Statement Revised Privacy Act Statement.doc No   Paper Only
Form SS-5 Application for Social Security Card SS-5 05-21-09.pdf No   Paper Only
Form and Instruction SS-5 Application for a Social Security Card Revised Form SS-5.pdf No   Paper Only
Form and Instruction SS-5-FS Application for a Social Security Card (Foreign Service) Revised Form SS-5-FS.pdf No   Paper Only
Other-SSA Field Office Internal-Use Screen Shots SSNAP Screens.doc Filled and Filed within field office No   Fillable Fileable Signable

Income Security General Retirement and Disability

 

13,584,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 13,584,000 0 0 0 0 13,584,000
Annual IC Time Burden (Hours) 1,933,000 0 0 0 0 1,933,000
Annual IC Cost Burden (Dollars) 8,367,000 0 0 0 0 8,367,000

Title Document Date Uploaded
Current Form SS-5 Current SS-5.pdf 03/09/2009
Current SS-5-FS Current SS-5-FS.pdf 03/12/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.