Application for a Social Security Card

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0066 can be found here:

Documents and Forms

Document Name Document Type
Form SS-5 Application for a Social Security Card Form and Instruction
SS-5 Application for a Social Security Card SS-5 (revised).pdf Form and Instruction
SS-5-FS Application for a Social Security Card (Foreign Service) ss-5-FS (revised).pdf Form and Instruction
SS-5 (current).pdf Current Form SS-5 IC Document
ss-5-FS (current).pdf Current SS-5-FS IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for a Social Security Card	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 422.103-.110

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SS-5	Application for a Social Security Card	SS-5 (revised).pdf		No		Paper Only
Form and Instruction	SS-5-FS	Application for a Social Security Card (Foreign Service)	ss-5-FS (revised).pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13,584,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	13,584,000	13,584,000
Annual IC Time Burden (Hours)	1,933,000	1,933,000
Annual IC Cost Burden (Dollars)	8,367,000	8,367,000

Documents for IC

Title	Document	Date Uploaded
Current Form SS-5	SS-5 (current).pdf	07/05/2011
Current SS-5-FS	ss-5-FS (current).pdf	07/05/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.