Respondents Who Request an Extract of their SSN Record - National Implementation

Application for a Social Security Card

OMB: 0960-0066

IC ID: 202249

Information Collection (IC) Details

View Information Collection (IC)

Respondents Who Request an Extract of their SSN Record - National Implementation
 
No New
 
Voluntary
 
20 CFR 422.103 - 422.110

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.pdf No   Paper Only
Form and Instruction SS-5-FS Application for a Social Security Card SS-5-FS.pdf No   Paper Only
Other-Internal Screens SSNAP.pdf Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

2,700,000 0
   
Individuals or Households
 
   90 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,700,000 0 2,700,000 0 0 0
Annual IC Time Burden (Hours) 382,500 0 382,500 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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