Application for a Social Security Card

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SS-5 Application for Social Security Card	Form	Modified	Available
Form SS-5-FS Application for a Social Security Card (Foreign Service)	Form and Instruction	Modified	Available
Form SS-5 Application for a Social Security Card	Form and Instruction	Modified	Available
0960-0066 (SS-5, SS-5-FS) addendum 2009[1].doc	Supplementary Document	Uploaded 2009-03-10	Available
0960-0066 (SS-5, SS-5-FS) supporting statement - 2009[2].doc	Supporting Statement A	Uploaded 2009-03-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9002	Application for a Social Security Card	Form	Modified	Application for Social Security Card
9002	Application for a Social Security Card	Form and Instruction	Modified	Application for a Social Security Card (Foreign Service)
9002	Application for a Social Security Card	Form and Instruction	Modified	Application for a Social Security Card
9002	Application for a Social Security Card	Other-SSA Field Office Internal-Use Screen Shots	Modified

ICR Details

OMB Control No: 0960-0066	ICR Reference No: 200903-0960-003
Status: Historical Active	Previous ICR Reference No: 200603-0960-007
Agency/Subagency: SSA	Agency Tracking No:
Title: Application for a Social Security Card
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/28/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/12/2009
Terms of Clearance: SSA have agreed to change the term "Ethnic Description” to “Ethnicity".

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2012	36 Months From Approved	05/31/2009
Responses	13,584,000	0	13,584,000
Time Burden (Hours)	1,933,000	0	1,933,000
Cost Burden (Dollars)	8,367,000	0	8,367,000

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Abstract: Individuals complete forms SS-5 (domestic residents) and SS-5-FS (U.S. nationals living abroad) to request a new or replacement Social Security Number card. In this ICR, we are making the following revisions to these forms: 1) we are updating question #6, “Race/Ethnic Description,” to reflect the correct OMB Race/Ethnicity categories and 2) we are making several minor changes to the form’s instructions. We are also implementing a new internal-use system for recording SS-5 responses called SSNAP, but this will not affect the public’s experience in any way. Note that the IC section represents an average completion time for all application scenarios. Please see the supporting statement(question #12) for the different completion times different types of applicants may take.

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Authorizing Statute(s): US Code: 42 USC 405 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 11185	02/29/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 8607	02/25/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Application for a Social Security Card	SS-5, SS-5-FS, SS-5	Application for a Social Security Card ,   Application for a Social Security Card (Foreign Service) ,   Application for Social Security Card

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ICR Summary of Burden

table that charts list of burden

	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	13,584,000	13,584,000	0	0	0	0
Annual Time Burden (Hours)	1,933,000	1,933,000	0	0	0	0
Annual Cost Burden (Dollars)	8,367,000	8,367,000	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $62,832,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/12/2009

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