Information Collection

Application for Replacement Social Security Card - oSSNAP

IC 239280 under ICR 202605-0960-009 · OMB 0960-0066.

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 Screen Package.pdf	Other-oSSNAP Screens
oSSNAP Screen Package.pdf	Other-oSSNAP Screens
Revised oSSNAP Screens - May 2026.pdf	Other-Revised oSSNAP Screens
Revised oSSNAP Screens - May 2026.pdf	Other-Revised oSSNAP Screens

IC Title:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Pre-Screening Questions for Express Service Appointments		No		Printable Only
Other-Race and Ethnicity Screen for an Individual (other than Self)		Yes	Yes	Fillable Fileable Signable
Other-Race and Ethnicity Screen for Individuals Applying on their own behalf		Yes	Yes	Fillable Fileable Signable
Other-Race and Ethnicity Summary Screen		Yes	Yes	Fillable Fileable Signable
Other-oSSNAP Screens	www.ssa.gov	Yes	Yes	Fillable Fileable Signable
Other-Revised oSSNAP Screens	www.ssa.gov (oSSNAP)	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: 2,334,386

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	2,334,386	2,334,386
Annual IC Time Burden (Hours)	3,345,953	3,345,953
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].