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

ICR 199302-0960-007

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 199302-0960-007
Historical Active 199001-0960-004
SSA
APPLICATION FOR A SOCIAL SECURITY NUMBER CARD (ORIGINAL REPLACEMENT OR CORRECTION)
Extension without change of a currently approved collection   No
Regular
Approved without change 04/21/1993
Retrieve Notice of Action (NOA) 02/24/1993
This information collection is approved through 4-96 under the following condition: OMB will make a single exception to the paperwork burden statement requirement, and allow SSA to remove the statement from this collection. OMB receives 100's of these applications a year, erroneously sent to our address. As it appears that applicants often do not know where to send the form, SSA will add a statement instructing applicants to send the form to their nearest SSA office which can be found in the Telephone Directory.
  Inventory as of this Action Requested Previously Approved
04/30/1996 04/30/1996 03/31/1993
15,000,000 0 15,000,000
2,000,000 0 2,000,000
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 15,000,000 15,000,000 0 0 0 0
Annual Time Burden (Hours) 2,000,000 2,000,000 0 0 0 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.
02/24/1993


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