Application for a Social Security Card - Asking for Replacement Card beyond allowable limits (Paper or SSNAP Intranet Modalities)

Application for a Social Security Card

Documents and Forms

Document Name Document Type
Form SS-5 Application for a Social Security Card - Asking for Replacement Card beyond allowable limits (Paper or SSNAP Intranet Modalities) Form and Instruction
SSNAP Screen Package.pdf Other-Internal Screens
SSNAP Screen Package.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
SS-5 Application for a Social Security Card SS-5.pdf Form and Instruction
SS-5 Application for a Social Security Card SS-5.pdf Form and Instruction
SS-5-FS Application for a Social Security Card (Foreign Service) SS-5-FS - Revised PA Statement Version (mock-up).pdf Form and Instruction
SS-5-FS Application for a Social Security Card (Foreign Service) SS-5-FS - Revised PA Statement Version (mock-up).pdf Form and Instruction
SS-5 - Current Version.pdf Current SS-5 IC Document
SS-5 - Current Version.pdf Current SS-5 IC Document
SS-5-FS - Current Version.pdf Current SS-5-FS IC Document
SS-5-FS - Current Version.pdf Current SS-5-FS IC Document

Information Collection (IC) Details

IC Title:	Application for a Social Security Card - Asking for Replacement Card beyond allowable limits (Paper or 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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SS-5	Application for a Social Security Card	SS-5.pdf	Yes	No	Fillable Printable
Form and Instruction	SS-5-FS	Application for a Social Security Card (Foreign Service)	SS-5-FS - Revised PA Statement Version (mock-up).pdf	Yes	No	Fillable Printable
Other-Internal Screens			SSNAP Screen Package.pdf	Yes	Yes	Fillable Fileable Signable
Other-Pre-Screening Questions for Express Service Appointments			Express Interviews Pre-Screening Questions.docx	No		Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,703	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Previously Approved
Annual Number of Responses for this IC	6,703	6,703
Annual IC Time Burden (Hours)	16,087	16,087
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Current SS-5	SS-5 - Current Version.pdf	07/31/2024
Current SS-5-FS	SS-5-FS - Current Version.pdf	07/31/2024

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