Application for a Social Security Card

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
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	Repair queued
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
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	Repair queued
Form SSA-2935-OP1 Authorization to SSA to Obtain Personal Information	Form and Instruction	Modified	Repair queued
Form SSA-2935-OP1 Authorization to SSA to Obtain Personal Information	Form and Instruction	Modified	Available
Addendum - 0066.docx	Supplementary Document	Uploaded 2014-11-04	Available
Supporting Statement - 0066.docx	Supporting Statement A	Uploaded 2014-11-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9002	Application for a Social Security Card - no need to provide parent's SSN	Form and Instruction	Modified	Application for a Social Security Card (Foreign Service)
9002	Application for a Social Security Card - no need to provide parent's SSN	Form and Instruction	Modified	Application for a Social Security Card
9002	Application for a Social Security Card - no need to provide parent's SSN	Other-Internal Screens	Modified
202249	Respondents Who Request an Extract of their SSN Record - Certain Disaster Situations Only		Removed
199949	Application for a Social Security Card - Asking for Replacement Card beyond allowable limits	Form and Instruction	Modified	Application for a Social Security Card (Foreign Service)
199949	Application for a Social Security Card - Asking for Replacement Card beyond allowable limits	Form and Instruction	Modified	Application for a Social Security Card
199949	Application for a Social Security Card - Asking for Replacement Card beyond allowable limits	Other-Internal Screens	Modified
199948	Application for a Social Security Card - Age 12 or older, additional questions	Other-Internal Screens	Modified
199946	Application for a Social Security Card - need to provide parent's SSN	Form and Instruction	Modified	Application for a Social Security Card (Foreign Service)
199946	Application for a Social Security Card - need to provide parent's SSN	Form and Instruction	Modified	Application for a Social Security Card
199946	Application for a Social Security Card - need to provide parent's SSN	Other-Internal Screens	Modified
198351	Authorization to the Social Security Administration to Obtain Personal Information	Form and Instruction	Modified	Authorization to SSA to Obtain Personal Information
198351	Authorization to the Social Security Administration to Obtain Personal Information	Other-Cover Letter	Modified
198350	Authorization to the Social Security Administration to Obtain Personal Information	Form and Instruction	Modified	Authorization to SSA to Obtain Personal Information
198350	Authorization to the Social Security Administration to Obtain Personal Information	Other-Cover Letter	Modified

ICR Details

OMB Control No: 0960-0066	ICR Reference No: 201408-0960-010
Status: Historical Active	Previous ICR Reference No: 201407-0960-007
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: 12/22/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/05/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2017	36 Months From Approved	02/28/2015
Responses	13,901,900	0	12,001,610
Time Burden (Hours)	1,998,650	0	1,722,518
Cost Burden (Dollars)	9,500,000	0	9,500,000

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Abstract: SSA collects information on the SS-5 (used in the United States) and SS-5-FS (used outside the United States) to issue original or replacement Social Security cards. SSA also enters the application data into the Social Security Number Application Process (SSNAP) when applicants request a new or replacement card via telephone or in person. In addition, hospitals collect the same information on SSA's behalf for newborn children through the Enumeration-at-Birth process. In this process, parents of newborns provide hospital birth registration clerks with information required to register these newborns. Hospitals send this information to State Bureaus of Vital Statistics (BVS), and they send the information to SSA's National Computer Center. SSA then uploads the data to the SSA mainframe along with all other enumeration data, and we assign the newborn a Social Security number (SSN) and issue a Social Security card. Respondents can also use these modalities to request a change in their SSN records. The respondents for this collection are applicants for original and replacement Social Security cards, or individuals who wish to change information in their SSN records, who use any of the modalities described above.

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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:
	79 FR 51387	08/28/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 65282	11/03/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Application for a Social Security Card - Age 12 or older, additional questions
Application for a Social Security Card - Asking for Replacement Card beyond allowable limits	SS-5, SS-5-FS	Application for a Social Security Card ,   Application for a Social Security Card (Foreign Service)
Application for a Social Security Card - need to provide parent's SSN	SS-5-FS, SS-5	Application for a Social Security Card ,   Application for a Social Security Card (Foreign Service)
Application for a Social Security Card - no need to provide parent's SSN	SS-5, SS-5-FS	Application for a Social Security Card ,   Application for a Social Security Card (Foreign Service)
Authorization to the Social Security Administration to Obtain Personal Information	SSA-2935-OP1	Authorization to SSA to Obtain Personal Information
Authorization to the Social Security Administration to Obtain Personal Information	SSA-2935-OP1	Authorization to SSA to Obtain Personal Information
Respondents Who Request an Extract of their SSN Record - Certain Disaster Situations Only

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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	13,901,900	12,001,610	0	-10	1,900,300	0
Annual Time Burden (Hours)	1,998,650	1,722,518	0	-1	276,133	0
Annual Cost Burden (Dollars)	9,500,000	9,500,000	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The increase in the burden is due to the fluctuation in the number of annual respondents. SSA bases our estimates on systematic data, and we estimate the numbers accordingly. The increase in the cost burden estimate is due to fluctuations in costs, and inflation rates.

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Annual Cost to Federal Government: $388,000,000

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 11/05/2014

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