Authorization to the Social Security Administration to Obtain Personal Information

Application for a Social Security Card

OMB: 0960-0066

IC ID: 198350

Information Collection (IC) Details

View Information Collection (IC)

Authorization to the Social Security Administration to Obtain Personal Information
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-2935-OP1 Authorization to SSA to Obtain Personal Information SSA-2935-OP1 - Revised Version.pdf No   Paper Only
Other-Cover Letter SSA-L2938.pdf No   Paper Only
Other-Revised PRA Statement SSA-2935-OP1 - Revised PRA Statement.pdf No   Paper Only

Income Security General Retirement and Disability

 

500 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 500 0 0 0 0 500
Annual IC Time Burden (Hours) 375 0 0 0 0 375
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-2935-OP1 (rcurrent) SSA-2935-OP1 - Current Version.pdf 04/07/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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