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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 (Paper or SSNAP Intranet Modalities)

IC 199949 under ICR 202605-0960-009 · OMB 0960-0066.

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

View Information Collection (IC)

Application for a Social Security Card - Asking for Replacement Card beyond allowable limits (Paper or SSNAP Intranet Modalities)
 
No Unchanged
 
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.pdf Yes No Fillable Printable
Form and Instruction SS-5-FS Application for a Social Security Card (Foreign Service) SS-5-FS - Revised PA Statement Version (mock-up).pdf Yes No Fillable Printable
Other-Internal Screens SSNAP Screen Package.pdf Yes Yes Fillable Fileable Signable
Other-Pre-Screening Questions for Express Service Appointments Express Interviews Pre-Screening Questions.docx No   Printable Only

Income Security General Retirement and Disability

 

11,885 0
   
Individuals or Households
 
   90 %

  Requested 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 11,885 0 0 0 0 11,885
Annual IC Time Burden (Hours) 26,939 0 0 0 0 26,939
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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