Information Collection

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

IC 199946 under ICR 201803-0960-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form SS-5 Application for a Social Security Card Application for a Social Security Card - need to provide parent's SSN	Form and Instruction
Form SS-5-FS Application for a Social Security Card (Foreign Service) Application for a Social Security Card - need to provide parent's SSN	Form and Instruction
SSNAP Screens.pdf	Other-Internal Screens
Privacy Act Statement for Applicants Interviewed using SSNAP Screens.pdf	Instruction
SS-5 Privacy Act Statement (revised).doc	Other-SS-5 Revised Privacy Act State
SS-5- FS Privacy Act Statement (revised).doc	Other-SS-5-FS Revised Privacy Act St
SS-5 Application for a Social Security Card SS-5 (revised).pdf	Form and Instruction
SS-5-FS Application for a Social Security Card (Foreign Service) SS-FS (revised).pdf	Form and Instruction
SS-5-FS (current).pdf SS-5-FS (current)	IC Document
SS-5 (current).pdf SS-5 (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-SS-5 Revised Privacy Act Statement			SS-5 Privacy Act Statement (revised).doc	No		Paper Only
Other-SS-5-FS Revised Privacy Act Statement			SS-5- FS Privacy Act Statement (revised).doc	No		Paper Only
Form and Instruction	SS-5	Application for a Social Security Card	SS-5 (revised).pdf	No		Paper Only
Form and Instruction	SS-5-FS	Application for a Social Security Card (Foreign Service)	SS-FS (revised).pdf	Yes	No	Fillable Printable
Other-Internal Screens			SSNAP Screens.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250,000

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	250,000	-150,000	400,000
Annual IC Time Burden (Hours)	37,500	-22,500	60,000
Annual IC Cost Burden (Dollars)	6,875,000	-4,125,000	11,000,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SS-5-FS (current)	SS-5-FS (current).pdf	06/28/2018
SS-5 (current)	SS-5 (current).pdf	06/28/2018

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