APPLICATION FOR A SOCIAL SECURITY NUMBER CARD (ORIGINAL REPLACEMENT OR CORRECTION)

ICR 198702-0960-002

OMB: 0960-0066

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0960-0066 198702-0960-002
Historical Active 198608-0960-016
SSA
APPLICATION FOR A SOCIAL SECURITY NUMBER CARD (ORIGINAL REPLACEMENT OR CORRECTION)
Revision of a currently approved collection   No
Regular
Approved without change 04/06/1987
Retrieve Notice of Action (NOA) 02/18/1987
  Inventory as of this Action Requested Previously Approved
04/30/1990 04/30/1990 04/30/1987
21,000,000 0 12,000,000
2,800,000 0 1,600,000
0 0 0

THE INFORMATION COLLECTED ON THIS FORM IS USED TO ASSIGN SOCIAL SECURITY NUMBERS TO INDIVIDUALS IN ORDER THAT THEY MAY OBTAIN EMPLOYMENT, REPORT EARNINGS, OPEN BANK ACCOUNTS, PAY TAXES, APPLY FOR BENEFITS AND FOR OTHER PURPOSES. THE AFFECTED PUBLIC CONSISTS OF INDIVIDUALS WHO APPLY FOR SOCIAL SECURITY NUMBERS.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR A SOCIAL SECURITY NUMBER CARD (ORIGINAL REPLACEMENT OR CORRECTION) SS-5

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 21,000,000 12,000,000 0 0 9,000,000 0
Annual Time Burden (Hours) 2,800,000 1,600,000 0 0 1,200,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/18/1987


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