Application for Replacement Social Security Card - oSSNAP

Application for a Social Security Card

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0066 can be found here:

Documents and Forms

Document Name Document Type
oSSNAP Screens.pdf Other-Internet and Intranet Screens
iSSNRC and oSSNAP- Revised Privacy and PRA Statements.pdf Other-Privacy Act and PRA Statements

Information Collection (IC) Details

IC Title:	Application for Replacement Social Security Card - oSSNAP	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 422.103 - 422.110

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Privacy Act and PRA Statements			iSSNRC and oSSNAP- Revised Privacy and PRA Statements.pdf		Yes	No	Printable Only
Other-Internet and Intranet Screens			oSSNAP Screens.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,500,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,500,000	3,500,000
Annual IC Time Burden (Hours)	2,041,667	2,041,667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.