Application for Replacement Social Security Card - oSSNAP

Application for a Social Security Card

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0066 can be found here:

Documents and Forms

Document Name Document Type
Express Interviews Pre-Screening Questions.docx Other-Pre-Screening Questions for Ex
Express Interviews Pre-Screening Questions.docx Other-Pre-Screening Questions for Ex
Race and Ethnicity Screen - Individual.pdf Other-Race and Ethnicity Screen for
Race and Ethnicity Screen - Individual.pdf Other-Race and Ethnicity Screen for
Race and Ethnicity Screen - Self.pdf Other-Race and Ethnicity Screen for
Race and Ethnicity Screen - Self.pdf Other-Race and Ethnicity Screen for
Race and Ethnicity Screen - Review and Edit Summary.pdf Other-Race and Ethnicity Summary Scr
Race and Ethnicity Screen - Review and Edit Summary.pdf Other-Race and Ethnicity Summary Scr
OSSNAP Screens - Current.docx Other-Current oSSNAP Screens (with u
OSSNAP Screens - Current.docx Other-Current oSSNAP Screens (with u
oSSNAP Screens.pdf Other-oSSNAP Screens (PDF Version)
oSSNAP Screens.pdf Other-oSSNAP Screens (PDF Version)

Information Collection (IC) Details

IC Title:	Application for Replacement Social Security Card - oSSNAP	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 422.103 - 422.110

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Pre-Screening Questions for Express Service Appointments	Express Interviews Pre-Screening Questions.docx	No		Printable Only
Other-Race and Ethnicity Screen for an Individual (other than Self)	Race and Ethnicity Screen - Individual.pdf	Yes	Yes	Fillable Fileable Signable
Other-Race and Ethnicity Screen for Individuals Applying on their own behalf	Race and Ethnicity Screen - Self.pdf	Yes	Yes	Fillable Fileable Signable
Other-Race and Ethnicity Summary Screen	Race and Ethnicity Screen - Review and Edit Summary.pdf	Yes	Yes	Fillable Fileable Signable
Other-Current oSSNAP Screens (with updated race and ethnicity data)	OSSNAP Screens - Current.docx	Yes	Yes	Fillable Fileable Signable
Other-oSSNAP Screens (PDF Version)	oSSNAP Screens.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 822,104	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	822,104	822,104
Annual IC Time Burden (Hours)	1,219,454	1,219,454
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.