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Federal forms, ICRs, and supporting documents

Information Collection

Application for a Social Security Card - Asking for Replacement Card beyond allowable limits

IC 199949 under ICR 202012-0960-006 · OMB 0960-0066.

Documents and Forms
Document Name
Document Type
Other-Internal Screens
Other-SS-5 and SS-5-FS Revised Priva
Other-Pre-Screening Questions for Ex
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Application for a Social Security Card - Asking for Replacement Card beyond allowable limits
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 422.103-422.110

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SS-5 Application for a Social Security Card SS-5 - Revised Version.pdf No   Paper Only
Form and Instruction SS-5-FS Application for a Social Security Card (Foreign Service) SS-5-FS - Revised Version.pdf Yes No Fillable Printable
Other-Internal Screens SSNAP Screens.pdf Yes Yes Fillable Fileable Signable
Other-SS-5 and SS-5-FS Revised Privacy Act and PRA Statements SS-5 and SS-5 FS - Revised Privacy Act and PRA Statements.pdf No   Printable Only
Other-Pre-Screening Questions for Express Service Appointments Express Interviews Pre-Screening Questions.docx No   Printable Only

Income Security General Retirement and Disability

 

7,250 0
   
Individuals or Households
 
   90 %

  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 7,250 0 0 0 0 7,250
Annual IC Time Burden (Hours) 12,083 0 0 0 0 12,083
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SS-5-FS - Current SS-5-FS - Current Version.pdf 04/07/2020
SS-5 (current) SS-5 - Current Version.pdf 04/07/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.