OMB control number
Application for Access to SSA Systems
OMB 0960-0791 ยท SSA.
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 2026-07-31 and is listed under ICR 202103-0960-004.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form SSA-120 Application for Access to SSA Systems | Form |
 Supporting Statement - 0791 (final).docx | Supporting Statement A |
| Addendum 0960-0791.docx | Supplementary Document |
 SSA-120 (paper version) |
Form |
| SSA-120 (paper version) |
Other-Privacy Act Statement (revised) |
| SSA-120 Internet Version Application for access to SSA Systems |
Other-Screens |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202607-0960-003 | Revision of a currently approved collection | 2026-07-31 | ||
| 202103-0960-004 | Revision of a currently approved collection | 2021-04-29 | Approved with change | |
| 201705-0960-003 | Revision of a currently approved collection | 2017-09-15 | Approved with change | |
| 201407-0960-002 | Revision of a currently approved collection | 2014-09-24 | Approved without change | |
| 201204-0960-017 | No material or nonsubstantive change to a currently approved collection | 2012-05-01 | Approved without change | |
| 201108-0960-006 | Existing collection in use without an OMB Control Number | 2011-12-01 | Approved without change |
OMB Details
Application for Access to SSA
Federal Enterprise Architecture: Income Security - General Retirement and Disability
| Form | Name | Electronic access | Type |
|---|---|---|---|
| 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.