Application for a Social Security Card - no changes (iSSNRC Internet Modality)

Application for a Social Security Card

Documents and Forms

Document Name Document Type
ISSNRC OMB Screen Package - Revised.pdf www.ssa.gov Other-Internet Screens
ISSNRC OMB Screen Package - Revised.pdf www.ssa.gov Other-Internet Screens
iSSNRC - Revised Privacy Act Statement.pdf www.ssa.gov Other-Internet Screen - Revised PA S
iSSNRC - Revised Privacy Act Statement.pdf www.ssa.gov Other-Internet Screen - Revised PA S

Information Collection (IC) Details

IC Title:	Application for a Social Security Card - no changes (iSSNRC Internet Modality)	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-Internet Screens			ISSNRC OMB Screen Package - Revised.pdf	www.ssa.gov	Yes	Yes	Fillable Fileable Signable
Other-Internet Screen - Revised PA Statement			iSSNRC - Revised Privacy Act Statement.pdf	www.ssa.gov	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: 3,002,698	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,002,698	3,002,698
Annual IC Time Burden (Hours)	1,751,574	1,751,574
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.