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⚠️ Notice: This information collection may be referencing outdated material.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: Modified

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 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	37,323	5,802	31,521
Annual IC Time Burden (Hours)	55,362	24,366	30,996
Annual IC Cost Burden (Dollars)	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.