OMB
.report
Search
Application for a Social Security Card - Age 12 or older, additional questions (SSNAP Intranet Modalities)
Application for a Social Security Card
OMB: 0960-0066
IC ID: 199948
OMB.report
SSA
OMB 0960-0066
ICR 202307-0960-005
IC 199948
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Documents and Forms
Document Name
Document Type
SSNAP Screen Package.pdf
Other-Internal Screens
SSNAP Screen Package.pdf
Other-Internal Screens
12 or Older SSNAP Screens.pdf
Other-Internal Screens
12 or Older SSNAP Screens.pdf
Other-Internal Screens
Express Interviews Pre-Screening Questions.docx
Other-Pre-Screening Questions for Ex
Express Interviews Pre-Screening Questions.docx
Other-Pre-Screening Questions for Ex
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for a Social Security Card - Age 12 or older, additional questions (SSNAP Intranet Modalities)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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-Internal Screens
SSNAP Screen Package.pdf
Yes
Yes
Fillable Fileable Signable
Other-Internal Screens
12 or Older SSNAP Screens.pdf
Yes
Yes
Fillable Fileable Signable
Other-Pre-Screening Questions for Express Service Appointments
Express Interviews Pre-Screening Questions.docx
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:
1,113,144
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
1,113,144
0
0
0
0
1,113,144
Annual IC Time Burden (Hours)
1,743,926
0
0
0
0
1,743,926
Annual IC Cost Burden (Dollars)
0
0
0
0
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.