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Federal forms, ICRs, and supporting documents

Information Collection

Application for Replacement Social Security Card - oSSNAP

IC 239280 under ICR 202605-0960-009 · OMB 0960-0066.

Documents and Forms
Document Name
Document Type
Other-Pre-Screening Questions for Ex
Other-Race and Ethnicity Screen for
Other-Race and Ethnicity Screen for
Other-Race and Ethnicity Summary Scr
Other-oSSNAP Screens
Other-Revised oSSNAP Screens
Information Collection (IC) Details

View Information Collection (IC)

Application for Replacement Social Security Card - oSSNAP
 
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
Other-Pre-Screening Questions for Express Service Appointments Express Interviews Pre-Screening Questions.docx No   Printable Only
Other-Race and Ethnicity Screen for an Individual (other than Self) Race and Ethnicity Screen - Individual.pdf Yes Yes Fillable Fileable Signable
Other-Race and Ethnicity Screen for Individuals Applying on their own behalf Race and Ethnicity Screen - Self.pdf Yes Yes Fillable Fileable Signable
Other-Race and Ethnicity Summary Screen Race and Ethnicity Screen - Review and Edit Summary.pdf Yes Yes Fillable Fileable Signable
Other-oSSNAP Screens oSSNAP Screen Package.pdf www.ssa.gov Yes Yes Fillable Fileable Signable
Other-Revised oSSNAP Screens Revised oSSNAP Screens - May 2026.pdf www.ssa.gov (oSSNAP) Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

2,334,386 0
   
Individuals or Households
 
   100 %

  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 2,334,386 0 0 0 0 2,334,386
Annual IC Time Burden (Hours) 3,345,953 0 0 0 0 3,345,953
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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