Application for a Social Security Card - no need to provide parent's SSN (iSSNRC Internet Modality)

Application for a Social Security Card

iSSNRC PA Statement

Application for a Social Security Card - no need to provide parent's SSN (iSSNRC Internet Modality)

OMB: 0960-0066

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SSA will insert the following revised Privacy Act Statement into the form as soon as possible:



Privacy Act Statement
Collection and Use of Personal Information


Sections 205(c) and 702 of the Social Security Act, as amended, allow us to collect this information. Furnishing us this information is voluntary. However, failing to provide all or part of the information may prevent us from issuing you a replacement Social Security card.

We will use the information to issue you a replacement Social Security card. We may also share your information for the following purposes, called routine uses:

  • To Federal, State, and local entities to assist them with administering income maintenance and health maintenance programs, when a Federal statute authorizes them to use the Social Security number; and,

  • To student volunteers, persons working under a personal services contract, and others when they need access to information in our records in order to perform their assigned agency duties.

In addition, we may share this information in accordance with the Privacy Act and other Federal laws. For example, where authorized, we may use and disclose this information in computer matching programs, in which our records are compared with other records to establish or verify a person’s eligibility for Federal benefit programs and for repayment of incorrect or delinquent debts under these programs.


A list of additional routine uses is available in our Privacy Act System of Records Notices (SORN) 60-0058, entitled Master Files of Social Security Number (SSN) Holders and SSN Applications, as published in the Federal Register (FR) on December 29, 2010, at 75 FR 82121, and 60-0373, entitled Repository of Electronic Authentication Data Master File, as published in the FR on December 19, 2010, at 75 FR 79065. Additional information, and a full listing of all of our SORNs, is available on our website at www.ssa.gov/privacy.

File Typeapplication/msword
AuthorSSA User
Last Modified BySYSTEM
File Modified2018-07-30
File Created2018-07-30

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