Information Collection Request

Application for a Social Security Card

ICR 202111-0960-008 · OMB 0960-0066 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SS-5-FS Application for a Social Security Card (Foreign Service) Form and Instruction Unchanged Available
Form SS-5 Application for a Social Security Card Form and Instruction Unchanged Available
Form SS-5 Application for a Social Security Card - no need to provide parent's SSN (Paper or Intranet Modalities) Form and Instruction Unchanged Repair queued
Form SS-5-FS Application for a Social Security Card (Foreign Service) Form and Instruction Unchanged Available
Form SS-5 Application for a Social Security Card Form and Instruction Unchanged Available
Form SS-5 Application for a Social Security Card - Asking for Replacement Card beyond allowable limits Form and Instruction Unchanged Repair queued
Form SS-5-FS Application for a Social Security Card (Foreign Service) Form and Instruction Unchanged Available
Form SS-5 Application for a Social Security Card Form and Instruction Unchanged Available
Form SS-5 Application for a Social Security Card - need to provide parent's SSN Form and Instruction Unchanged Repair queued
Form SSA-2935-OP1 Authorization to SSA to Obtain Personal Information Form and Instruction Unchanged Available
Form SSA-2935-OP1 Authorization to the Social Security Administration to Obtain Personal Information Form and Instruction Unchanged Repair queued
Form SSA-2935-OP1 Authorization to SSA to Obtain Personal Information Form and Instruction Unchanged Available
Form SSA-2935-OP1 Authorization to the Social Security Administration to Obtain Personal Information Form and Instruction Unchanged Repair queued
Justification for the Non Substantive Changes - COVID Screener Field Offices (Final).docx Justification for No Material/Nonsubstantive Change Uploaded 2021-12-03 Repair queued
Supporting Statement - 0066 (Revised).docx Supporting Statement A Uploaded 2020-12-22 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9002 Application for a Social Security Card - no need to provide parent's SSN (Paper or Intranet Modalities) Form and Instruction UnchangedApplication for a Social Security Card (Foreign Service)
9002 Application for a Social Security Card - no need to provide parent's SSN (Paper or Intranet Modalities) Form and Instruction UnchangedApplication for a Social Security Card
9002 Application for a Social Security Card - no need to provide parent's SSN (Paper or Intranet Modalities) Form and Instruction Unchanged
9002 Application for a Social Security Card - no need to provide parent's SSN (Paper or Intranet Modalities) Other-Internal Screens Unchanged
250430 COVID Screener Questions and Appointment Check-In - Telephone Check-In Other-Telephone Script New
250429 COVID Screener Questions and Appointment Check-In - Mobile Application Other-Mobile Application Screens New
243560 Enumeration at Birth - Hospital Staff Relaying State Birth Certificate Data to SSA Unchanged
239280 Application for Replacement Social Security Card - oSSNAP Other-Internet and Intranet Screens Unchanged
216218 Application for a Social Security Card - no need to provide parent's SSN (iSSNRC Internet Modality) Other-Internet Screens Unchanged
199949 Application for a Social Security Card - Asking for Replacement Card beyond allowable limits Form and Instruction UnchangedApplication for a Social Security Card (Foreign Service)
199949 Application for a Social Security Card - Asking for Replacement Card beyond allowable limits Form and Instruction UnchangedApplication for a Social Security Card
199949 Application for a Social Security Card - Asking for Replacement Card beyond allowable limits Form and Instruction Unchanged
199949 Application for a Social Security Card - Asking for Replacement Card beyond allowable limits Other-Internal Screens Unchanged
199948 Application for a Social Security Card - Age 12 or older, additional questions Other-Internal Screens Unchanged
199946 Application for a Social Security Card - need to provide parent's SSN Form and Instruction UnchangedApplication for a Social Security Card (Foreign Service)
199946 Application for a Social Security Card - need to provide parent's SSN Form and Instruction UnchangedApplication for a Social Security Card
199946 Application for a Social Security Card - need to provide parent's SSN Form and Instruction Unchanged
199946 Application for a Social Security Card - need to provide parent's SSN Other-Internal Screens Unchanged
198351 Authorization to the Social Security Administration to Obtain Personal Information Form and Instruction UnchangedAuthorization to SSA to Obtain Personal Information
198351 Authorization to the Social Security Administration to Obtain Personal Information Form and Instruction Unchanged
198351 Authorization to the Social Security Administration to Obtain Personal Information Other-Cover Letter Unchanged
198350 Authorization to the Social Security Administration to Obtain Personal Information Form and Instruction UnchangedAuthorization to SSA to Obtain Personal Information
198350 Authorization to the Social Security Administration to Obtain Personal Information Form and Instruction Unchanged
198350 Authorization to the Social Security Administration to Obtain Personal Information Other-Cover Letter Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2023 09/30/2023 09/30/2023
23,695,344 0 17,063,250
11,999,601 0 7,579,584
0 0 0





Reginfo record details
11
table that charts list of burden
IC Title Form No. Form Name
Application for Replacement Social Security Card - oSSNAP
Application for a Social Security Card - Age 12 or older, additional questions
Application for a Social Security Card - Asking for Replacement Card beyond allowable limits SS-5, SS-5-FS ,  
Application for a Social Security Card - need to provide parent's SSN SS-5-FS, SS-5 ,  
Application for a Social Security Card - no need to provide parent's SSN (Paper or Intranet Modalities) SS-5-FS, SS-5 ,  
Application for a Social Security Card - no need to provide parent's SSN (iSSNRC Internet Modality)
Authorization to the Social Security Administration to Obtain Personal Information SSA-2935-OP1
Authorization to the Social Security Administration to Obtain Personal Information SSA-2935-OP1
COVID Screener Questions and Appointment Check-In - Mobile Application
COVID Screener Questions and Appointment Check-In - Telephone Check-In
Enumeration at Birth - Hospital Staff Relaying State Birth Certificate Data to SSA

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 23,695,344 17,063,250 0 6,632,094 0 0
Annual Time Burden (Hours) 11,999,601 7,579,584 0 4,420,017 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No