Information Collection

Application for Replacement Social Security Card - oSSNAP

IC 239280 under ICR 202307-0960-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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)

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:

table that charts list of 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 %

table that charts list of burden
	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

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.