Justification for the Non-Substantive Changes to 0960-0066

Justification for Non-Substantive Changes for Forms SS-5, SS-5-FS

Application for a Social Security Number Card, and the Social Security Number Application Process (SSNAP)

20 CFR 422.103-422.110

OMB No. 0960-0066

Revisions to the Collection:

• Change #1: SSA is discontinuing the issuance of the SSN Printout to members of the public, except in certain disaster situations. For this reason, we are removing the Social Security Number (SSN) Printout Process from this Office of Management and Budget (OMB) clearance package.

Current SSN Printout Process:

• Number Holder (NH) requests an SSN Printout using form SS-5 or the Social Security Number Application Process (SSNAP) screens.

• Technician collects evidence required for a replacement SSN card and documents the evidence in SSNAP.

• Technician generates the SSN printout through a print query of the Numident file.

• Technician gives the SSN printout to the NH.

Justification #1: Due to fiscal year 2014 Service changes, SSA is discontinuing the issuance of the SSN Printout to members of the public, except in certain disaster situations.

• Change #2: A form SS-5 or SSNAP is not utilized to collect data from disaster victims for SSN Printouts requests.

Justification #2: In most cases, a disaster victim will not have sufficient evidence to process the SSN Printout request via SSNAP. In lieu of using SSNAP to document evidence, SSA will:

• Ask for the bare minimum of identifying information (e.g., name, SSN, DOB, address, place of birth, and at least one other item of information available in our records).

• Obtain a signed statement from the individual stating the individuals are who they claim to be.

Revisions to the Burden:

We are revising the burden to reflect these changes:

Application Scenario	Number of Respondents	Frequency of Response	Average Burden Per Response (minutes)	Estimated Total Annual Burden (hours)
Respondents who do not have to provide parents’ SSNs	10,500,000	1	8.5	1,487,500
Respondents whom we ask to provide parents’ SSNs (when applying for original SSN cards for children under age 18)	400,000	1	9	60,000
Applicants age 12 or older who need to answer additional questions so SSA can determine whether we previously assigned an SSN	1,100,000	1	9.5	174,167
Applicants asking for a replacement SSN card beyond the new allowable limits (i.e., who must provide additional documentation to accompany the application)	600	1	60	600
Authorization to SSA to obtain personal information cover letter	500	1	15	125
Authorization to SSA to obtain personal information follow-up cover letter	500	1	15	125
Respondents who request access to an extract of their SSN record	10*	1	8.5	1
Totals	12,001,610			1,722,518

* We do not currently have an exact number of disaster victim respondents who request the SSN Printout; however, we believe that it will be at least 10. When we have a better estimate, we will inform OMB.

2