Information Collection Request

Application for a Social Security Card

ICR 202001-0960-003 · OMB 0960-0066 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SS-5 Application for a Social Security Card - no need to provide parent's SSN (Paper or Intranet Modalities) Form and Instruction Modified Available
Form SS-5 Application for a Social Security Card - Asking for Replacement Card beyond allowable limits Form and Instruction Modified Available
Form SS-5 Application for a Social Security Card - need to provide parent's SSN Form and Instruction Modified Available
Form SSA-2935-OP1 Authorization to the Social Security Administration to Obtain Personal Information Form and Instruction Modified Repair queued
Form SSA-2935-OP1 Authorization to the Social Security Administration to Obtain Personal Information Form and Instruction Modified Available
Addendum - 0066.docx Supplementary Document Uploaded 2020-04-07 Available
Supporting Statement - 0066 (Revised).docx Supporting Statement A Uploaded 2020-09-10 Available

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2023 36 Months From Approved 11/30/2021
17,063,250 0 12,705,000
8,004,584 0 1,802,000
0 0 6,875,000





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 17,063,250 12,705,000 0 7,225,000 -2,866,750 0
Annual Time Burden (Hours) 8,004,584 1,802,000 0 2,352,084 3,850,500 0
Annual Cost Burden (Dollars) 0 6,875,000 0 0 -6,875,000 0


Reginfo record details
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