Application for a Social Security Card - Age 12 or older, additional questions (SSNAP Intranet Modalities)

Application for a Social Security Card

SSNAP Screen Package

Application for a Social Security Card - Age 12 or older, additional questions (SSNAP Intranet Modalities)

OMB: 0960-0066

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SSNAP Screen Designs
Main Menu .................................................................................................................................. 2
Application Information – Select Applicant ............................................................................... 3
Numberholder Information ......................................................................................................... 4
Numberholder Address ............................................................................................................... 5
U.S. is Default Selection .................................................................................................5
Foreign Address Selected ............................................................................................... 5
Military Address Selected .............................................................................................. 5
12 or Older Interview Questions ................................................................................................. 6
U.S. Citizen 12 or Older Interview Questions ............................................................................ 6
Non U.S. Citizen 12 or Older Interview Questions .................................................................... 6
Additional Information ................................................................................................................7
Voluntary Race and Ethnicity Identification ...............................................................................9
Verify and Sign ........................................................................................................................... 8

SSNAP Screen Designs Page 1 of 9 – OMB
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Main Menu

SSNAP Screen Designs Page 2 of 9 – OMB
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Application Information Screen

SSNAP Screen Designs Page 3 of 9 – OMB
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Numberholder Information Screen

SSNAP Screen Designs Page 4 of 9 – OMB
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Numberholder Address
U.S. is Default Selection

Foreign Address Selected

Military Address Selected

SSNAP Screen Designs Page 5 of 9 – OMB
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12 or Older Interview Questions
U.S. Citizen 12 or Older Interview Questions

Non U.S. Citizen 12 or Older Interview Questions

SSNAP Screen Designs Page 6 of 9 – OMB
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Additional Information

SSNAP Screen Designs Page 7 of 9 – OMB
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Voluntary Race and Ethnicity Identification

SSNAP Screen Designs Page 8 of 9 – OMB
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Verify and Sign

SSNAP Screen Designs Page 9 of 9 – OMB
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File Typeapplication/pdf
AuthorDo, Kelly
File Modified2022-01-13
File Created2021-10-29

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