Application for Access to SSA Systems

OMB 0960-0791

SSA uses the Form SSA-120 to provide a personal identification number for access to SSA's information technology resources. SSA only uses Form SSA-120 for obtaining access to SSA systems. The request must adhere to the minimum access necessary for respondents to perform job duties. SSA requires supervisor approval, and local or component security officer review prior to granting the requested access. The respondents are SSA employees and non-Federal employees (contractors) needing access to SSA systems.

The latest form for Application for Access to SSA Systems expires 2021-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SSA-120 Application for Access to SSA Form and Instruction
Supporting Statement - 0791.docx Supporting Statement A
Addendum - 0791.docx Supplementary Document
SSA-120 Internet Version Application for access to SSA Systems Other-Screens
Application for Access to SSA Form and Instruction

All Historical Document Collections

202103-0960-004 Approved with change	Revision of a currently approved collection	2021-04-29
201705-0960-003 Approved with change	Revision of a currently approved collection	2017-09-15
201407-0960-002 Approved without change	Revision of a currently approved collection	2014-09-24
201204-0960-017 Approved without change	No material or nonsubstantive change to a currently approved collection	2012-05-01
201108-0960-006 Approved without change	Existing collection in use without an OMB Control Number	2011-12-01

OMB Details

Application for Access to SSA

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-120

Application For Access to SSA Systems

Paper Only

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.