Information Collection

Application for a Social Security Card - Asking for Replacement Card beyond allowable limits (Paper or SSNAP Intranet Modalities)

IC 199949 under ICR 202306-0960-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 - Asking for Replacement Card beyond allowable limits (Paper or SSNAP Intranet Modalities)	Form and Instruction
Form SS-5 Application for a Social Security Card Application for a Social Security Card - Asking for Replacement Card beyond allowable limits (Paper or SSNAP Intranet Modalities)	Form and Instruction
Form SS-5-FS Application for a Social Security Card (Foreign Service) Application for a Social Security Card - Asking for Replacement Card beyond allowable limits (Paper or SSNAP Intranet Modalities)	Form and Instruction
SSNAP Screen Package.pdf	Other-Internal Screens
SSNAP Screen Package.pdf	Other-Internal Screens
Express Interviews Pre-Screening Questions.docx	Other-Pre-Screening Questions for Ex
Express Interviews Pre-Screening Questions.docx	Other-Pre-Screening Questions for Ex
SS-5 Application for a Social Security Card SS-5.pdf	Form and Instruction
SS-5 Application for a Social Security Card SS-5.pdf	Form and Instruction
SS-5-FS Application for a Social Security Card (Foreign Service) SS-5-FS.pdf	Form and Instruction
SS-5-FS Application for a Social Security Card (Foreign Service) SS-5-FS.pdf	Form and Instruction

IC Title:

Application for a Social Security Card - Asking for Replacement Card beyond allowable limits (Paper or SSNAP Intranet Modalities)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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
Form and Instruction	SS-5	Application for a Social Security Card	SS-5.pdf	No		Paper Only
Form and Instruction	SS-5-FS	Application for a Social Security Card (Foreign Service)	SS-5-FS.pdf	Yes	No	Fillable Printable
Other-Internal Screens			SSNAP Screen Package.pdf	Yes	Yes	Fillable Fileable Signable
Other-Pre-Screening Questions for Express Service Appointments			Express Interviews Pre-Screening Questions.docx	No		Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,703

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	6,703	6,703
Annual IC Time Burden (Hours)	16,087	16,087
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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