Application for a Social Security Card

ICR 201104-0960-011

OMB: 0960-0066

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Justification for No Material/Nonsubstantive Change
2011-04-21
IC Document Collections
ICR Details
0960-0066 201104-0960-011
Historical Active 200903-0960-003
SSA
Application for a Social Security Card
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 05/27/2011
Retrieve Notice of Action (NOA) 04/22/2011
SSA have agreed to change the term "Ethnic Description” to “Ethnicity".
  Inventory as of this Action Requested Previously Approved
05/31/2012 05/31/2012 05/31/2012
13,584,000 0 13,584,000
1,933,000 0 1,933,000
8,367,000 0 8,367,000

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: 1) We are making several minor changes to the forms SS-5, SS-5FS, and SSNAP screens instructions, and questions; 2) We are a Non U.S. Citizen 12 or Older interview Questions to 12 or Older Interview Questions in SNAPP; 3)We are also implementing a new Online Social Security Number Decision Tree to help guide users in determining which documents to submit to OMB. This will not collect any personally identifiable information, will not save the user's responses, and will not check any SSA master files. The Decision Tree is voluntary and for the user's convenience only.

US Code: 42 USC 405 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  73 FR 11185 02/29/2008
74 FR 8607 02/25/2009
No

1
IC Title Form No. Form Name
Application for a Social Security Card SS-5, SS-5-FS Application for a Social Security Card ,   Application for a Social Security Card (Foreign Service)

  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
No
No

$62,832,000
No
No
No
No
No
Uncollected
Faye Lipsky 410 965-8783 [email protected]

  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.
04/22/2011


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