Information Collection

Application for a Social Security Card - need to provide parent's SSN

IC 199946 under ICR 201803-0960-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
SSNAP Screens.pdf Other-Internal Screens
Privacy Act Statement for Applicants Interviewed using SSNAP Screens.pdf Instruction
SS-5 Privacy Act Statement (revised).doc Other-SS-5 Revised Privacy Act State
SS-5- FS Privacy Act Statement (revised).doc Other-SS-5-FS Revised Privacy Act St
SS-5 Application for a Social Security Card SS-5 (revised).pdf Form and Instruction
SS-5-FS Application for a Social Security Card (Foreign Service) SS-FS (revised).pdf Form and Instruction
SS-5-FS (current).pdf SS-5-FS (current) IC Document
SS-5 (current).pdf SS-5 (current) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for a Social Security Card - need to provide parent's SSN	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 422.103-422.110

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Privacy Act Statement for Applicants Interviewed using SSNAP Screens.pdf	No		Printable Only
Other-SS-5 Revised Privacy Act Statement			SS-5 Privacy Act Statement (revised).doc	No		Paper Only
Other-SS-5-FS Revised Privacy Act Statement			SS-5- FS Privacy Act Statement (revised).doc	No		Paper Only
Form and Instruction	SS-5	Application for a Social Security Card	SS-5 (revised).pdf	No		Paper Only
Form and Instruction	SS-5-FS	Application for a Social Security Card (Foreign Service)	SS-FS (revised).pdf	Yes	No	Fillable Printable
Other-Internal Screens			SSNAP Screens.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	250,000	-150,000	400,000
Annual IC Time Burden (Hours)	37,500	-22,500	60,000
Annual IC Cost Burden (Dollars)	6,875,000	-4,125,000	11,000,000

Documents for IC

Title	Document	Date Uploaded
SS-5-FS (current)	SS-5-FS (current).pdf	06/28/2018
SS-5 (current)	SS-5 (current).pdf	06/28/2018

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