Enumeration at Birth - Hospital Staff Relaying State Birth Certificate Data to SSA

Application for a Social Security Card

Documents and Forms

Document Name Document Type
Sample State form for EAB (Michigan Parent Information Worksheet).pdf Other-Sample Form for EAB (currently in use in Michigan)
Sample State for EAB (Alaska Parent Worksheet Template for State Issued EAB SSN Request).pdf Other-Sample Form for EAB (currently in use in Alaska)

Information Collection (IC) Details