Application for a Social Security Card - Age 12 or older, additional questions

Application for a Social Security Card

SSNAP PA Statement

Application for a Social Security Card - Age 12 or older, additional questions

OMB: 0960-0066

Document [docx]
Download: docx | pdf

SSA will insert the following revised Privacy Act Statement into the form as soon as possible:



Privacy Act Statement

Collection and Use of Personal Information


Sections 205(c) and 702 of the Social Security Act, as amended, allow us to collect this information. Furnishing us this information is voluntary. However, failing to provide all or part of the information may prevent us from issuing you a Social Security number (SSN) and card. We will use the information to provide and assign you an SSN and issue you a Social Security card. Additional information, and a full listing of all of our system of records notices, is available on our website at www.socialsecurity.gov/privacy.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSarai, Navdeep
File Modified0000-00-00
File Created2021-01-21

© 2024 OMB.report | Privacy Policy