Application for Replacement Social Security Card - oSSNAP

Application for a Social Security Card

OMB: 0960-0066

IC ID: 239280

Documents and Forms
Document Name
Document Type
Other-Internet and Intranet Screens
Other-Internet and Intranet Screens
Other-Pre-Screening Questions for Ex
Other-Pre-Screening Questions for Ex
Other-Race and Ethnicity Screen for
Other-Race and Ethnicity Screen for
Other-Race and Ethnicity Screen for
Other-Race and Ethnicity Screen for
Other-Race and Ethnicity Summary Scr
Other-Race and Ethnicity Summary Scr
Other-Revised oSSNAP Screens (with u
Other-Revised oSSNAP Screens (with u
Information Collection (IC) Details

View Information Collection (IC)

Application for Replacement Social Security Card - oSSNAP
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
20 CFR 422.103 - 422.110

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Internet and Intranet Screens oSSNAP Screen Package - Current Screens.pdf Yes Yes Fillable Fileable Signable
Other-Pre-Screening Questions for Express Service Appointments Express Interviews Pre-Screening Questions.docx No   Printable Only
Other-Race and Ethnicity Screen for an Individual (other than Self) Race and Ethnicity Screen - Individual.pdf Yes Yes Fillable Fileable Signable
Other-Race and Ethnicity Screen for Individuals Applying on their own behalf Race and Ethnicity Screen - Self.pdf Yes Yes Fillable Fileable Signable
Other-Race and Ethnicity Summary Screen Race and Ethnicity Screen - Review and Edit Summary.pdf Yes Yes Fillable Fileable Signable
Other-Revised oSSNAP Screens (with updated race and ethnicity data) OSSNAP Screens - Revised.docx Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

822,104 0
   
Individuals or Households
 
   100 %

  Requested 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 822,104 0 0 0 0 822,104
Annual IC Time Burden (Hours) 1,219,454 0 0 0 0 1,219,454
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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