Information Collection

Application for a Social Security Card - need to provide parent's SSN

IC 199946 under ICR 201710-0960-009 · OMB 0960-0066.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SSNAP Screens.pdf	Other-Internal Screens
Privacy Act Statement for Applicants Interviewed using SSNAP Screens.pdf	Instruction
SS-5 Application for a Social Security Card SS-5.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-FS - Current.pdf SS-5-FS - Current	IC Document

IC Title:

Application for a Social Security Card - need to provide parent's SSN

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 422.103-422.110

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Privacy Act Statement for Applicants Interviewed using SSNAP Screens.pdf	No		Printable Only
Other-Internal Screens			SSNAP Screens.pdf	Yes	Yes	Fillable Fileable Signable
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 (Foreign Service)	SS-5-FS - Revised.pdf	Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	400,000	400,000
Annual IC Time Burden (Hours)	60,000	60,000
Annual IC Cost Burden (Dollars)	11,000,000	11,000,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SS-5-FS - Current	SS-5-FS - Current.pdf	11/03/2017

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