OMB control number
Application for Access to SSA Systems
OMB 0960-0791 · SSA.
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 2026-07-31 and can be found here.
Document Name |
|---|
Form and Instruction |
Form and Instruction |
Supporting Statement A |
Supporting Statement A |
Supplementary Document |
Supplementary Document |
Form SSA-120 Application For Access to SSA Systems
Supporting Statement - 0791 (Clean Copy).docx
SSA-120 Internet Version Application for access to SSA Systems |
Approved with change |
Revision of a currently approved collection | 2021-04-29 | |
|
Approved with change |
Revision of a currently approved collection | 2017-09-15 | |
|
Approved without change |
Revision of a currently approved collection | 2014-09-24 | |
|
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2012-05-01 | |
|
Approved without change |
Existing collection in use without an OMB Control Number | 2011-12-01 |
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.