Information Collection

Application for a Social Security Card - Asking for Replacement Card beyond allowable limits (Paper or SSNAP Intranet Modalities)

IC 199949 under ICR 202609-0960-002 · OMB 0960-0066.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SS-5 Application for a Social Security Card Application for a Social Security Card - Asking for Replacement Card beyond allowable limits (Paper or SSNAP Intranet Modalities)	Form and Instruction
Form SS-5-FS Application for a Social Security Card (Foreign Service) Application for a Social Security Card - Asking for Replacement Card beyond allowable limits (Paper or SSNAP Intranet Modalities)	Form and Instruction
SSNAP Screen Package.pdf	Other-Internal Screens
Express Interviews Pre-Screening Questions.docx	Other-Pre-Screening Questions for Ex
SS-5 Application for a Social Security Card SS-5.pdf	Form and Instruction
SS-5-FS Application for a Social Security Card (Foreign Service) SS-5-FS - Revised PA Statement Version (mock-up).pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SS-5	Yes	No	Fillable Printable
Form and Instruction	SS-5-FS	Yes	No	Fillable Printable
Other-Internal Screens		Yes	Yes	Fillable Fileable Signable
Other-Pre-Screening Questions for Express Service Appointments		No		Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 11,885

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	11,885	11,885
Annual IC Time Burden (Hours)	26,939	26,939
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.

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