Authorization to the Social Security Administration to Obtain Personal Information

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⚠️ Notice: This information collection may be referencing outdated material.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
Form SSA-2935-OP1 Authorization to the Social Security Administration to Obtain Personal Information Form and Instruction
SSA-L2938.pdf Other-Cover Letter
SSA-2935-OP1 - Revised PRA Statement.pdf Other-Revised PRA Statement
SSA-2935-OP1 Authorization to SSA to Obtain Personal Information SSA-2935-OP1 - Revised Version.pdf Form and Instruction
SSA-2935-OP1 - Current Version.pdf SSA-2935-OP1 (rcurrent) IC Document

Information Collection (IC) Details

IC Title:	Authorization to the Social Security Administration to Obtain Personal Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	SSA-2935-OP1	Authorization to SSA to Obtain Personal Information	SSA-2935-OP1 - Revised Version.pdf	No	Paper Only
Other-Cover Letter			SSA-L2938.pdf	No	Paper Only
Other-Revised PRA Statement			SSA-2935-OP1 - Revised PRA Statement.pdf	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	375	375
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-2935-OP1 (rcurrent)	SSA-2935-OP1 - Current Version.pdf	04/07/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.