Application for Replacement Social Security Card - oSSNAP

Privacy Act Statement
Collection and Use of Personal Information
Sections 202, 205(c), and 702 of the Social Security Act (Act), as amended, allow us to collect
this information, which we will use to assign a Social Security number, issue a Social Security
card, and make a timely determination concerning eligibility for Social Security
benefits. Providing the information is voluntary, but not providing all or part of the information
may prevent us from assisting you. As law permits, we may use and share the information you
submit, including with other Federal agencies, contractors, and others, as outlined in the routine
uses within System of Records Notices (SORN) 60-0058, 60-0089, 60-0090, and 60-0104,
available at www.ssa.gov/privacy. The information you submit may also be used in computer
matching programs to establish or verify eligibility for Federal benefit programs and to recoup
debts under these programs. The Act also allows us to collect race and ethnicity information,
which we will use for research and statistical purposes. Furnishing us this information is
voluntary and will not be used in decisions about your application.