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Application for a Social Security Card - Asking for Replacement Card beyond allowable limits
Application for a Social Security Card
OMB: 0960-0066
IC ID: 199949
OMB.report
SSA
OMB 0960-0066
ICR 202009-0960-005
IC 199949
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0066 can be found here:
2024-07-31 - No material or nonsubstantive change to a currently approved collection
2023-11-21 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form SS-5
Application for a Social Security Card - Asking for Replacement Card beyond allowable limits
Form and Instruction
SSNAP Screens.pdf
Other-Internal Screens
SS-5 and SS-5 FS - Revised Privacy Act and PRA Statements.pdf
Other-SS-5 and SS-5-FS Revised Priva
SS-5 Application for a Social Security Card
SS-5 - Revised Version.pdf
Form and Instruction
SS-5-FS Application for a Social Security Card (Foreign Service)
SS-5-FS - Revised Version.pdf
Form and Instruction
SS-5-FS - Current Version.pdf
SS-5-FS - Current
IC Document
SS-5 - Current Version.pdf
SS-5 (current)
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for a Social Security Card - Asking for Replacement Card beyond allowable limits
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
Form and Instruction
SS-5
Application for a Social Security Card
SS-5 - Revised Version.pdf
No
Paper Only
Form and Instruction
SS-5-FS
Application for a Social Security Card (Foreign Service)
SS-5-FS - Revised Version.pdf
Yes
No
Fillable Printable
Other-Internal Screens
SSNAP Screens.pdf
Yes
Yes
Fillable Fileable Signable
Other-SS-5 and SS-5-FS Revised Privacy Act and PRA Statements
SS-5 and SS-5 FS - Revised Privacy Act and PRA Statements.pdf
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
7,250
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
90 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
7,250
0
0
0
0
7,250
Annual IC Time Burden (Hours)
12,083
0
0
0
0
12,083
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SS-5-FS - Current
SS-5-FS - Current Version.pdf
04/07/2020
SS-5 (current)
SS-5 - Current Version.pdf
04/07/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.