Application for a Social Security Card - with a name change (oSSNAP Internet Modality)

Application for a Social Security Card

Documents and Forms

Document Name Document Type
oSSNAP Screen Package - Revised Version.pdf Other-Internet Screens
ISSNRC Screen Package - Current Version.pdf Current iSSNRC Screens IC Document

Information Collection (IC) Details

IC Title:	Application for a Social Security Card - with a name change (oSSNAP Internet Modality)	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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens			oSSNAP Screen Package - Revised Version.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: 37,820	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	37,820	36,508	1,312
Annual IC Time Burden (Hours)	25,213	24,448	765
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Current iSSNRC Screens	ISSNRC Screen Package - Current Version.pdf	12/29/2025

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