Application for a Social Security Card

ICR 199607-0960-004

OMB: 0960-0066

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
8996 Migrated
ICR Details
0960-0066 199607-0960-004
Historical Active 199302-0960-007
SSA
Application for a Social Security Card
Revision of a currently approved collection   No
Regular
Approved without change 09/20/1996
Retrieve Notice of Action (NOA) 07/25/1996
This information collection is approved through 9-97 under the following condition: Within one month, SSA will submit a revised Privacy Act notice that fully notifies the respondent of the possible uses and disclosures that SSA may make with the information provided on the form, as required by the Privacy Act.
  Inventory as of this Action Requested Previously Approved
09/30/1997 09/30/1997 09/30/1996
20,000,000 0 15,000,000
2,666,667 0 2,000,000
0 0 0

The information collected on form SS-5 is used by the Social Security Administration to assign social security numbers so that individuals 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 Card 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 20,000,000 15,000,000 0 5,000,000 0 0
Annual Time Burden (Hours) 2,666,667 2,000,000 0 666,667 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
07/25/1996


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