Application for An Original 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⚠️ Notice: This information collection may be referencing outdated material.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 Screen Package.pdf www.ssa.gov Other-Internet and Intranet Screens
oSSNAP Screen Package.pdf www.ssa.gov Other-Internet and Intranet Screens
Success - Banned-V2 (002).pdf Other-Internet and Intranet Screens
Success - Banned-V2 (002).pdf Other-Internet and Intranet Screens
Success - ESS-V2.pdf Other-Internet and Intranet Screens
Success - ESS-V2.pdf Other-Internet and Intranet Screens
Success - original-V2.pdf Other-Internet and Intranet Screens
Success - original-V2.pdf Other-Internet and Intranet Screens
OSSNAP Screens - Revised.docx Other-Revised oSSNAP Screens (with u
OSSNAP Screens - Revised.docx Other-Revised oSSNAP Screens (with u

Information Collection (IC) Details

IC Title:	Application for An Original Social Security Card - oSSNAP	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	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet and Intranet Screens	oSSNAP Screen Package.pdf	www.ssa.gov	Yes	Yes	Fillable Fileable Signable
Other-Internet and Intranet Screens	Success - Banned-V2 (002).pdf		Yes	Yes	Fillable Fileable Signable
Other-Internet and Intranet Screens	Success - ESS-V2.pdf		Yes	Yes	Fillable Fileable Signable
Other-Internet and Intranet Screens	Success - original-V2.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

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 37,323	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	37,323	37,323
Annual IC Time Burden (Hours)	55,362	55,362
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.