Application for Access to SSA Systems

OMB 0960-0791

OMB 0960-0791

SSA uses the Form SSA-120 to provide a personal identification number for access to SSA's information technology resources. SSA only uses Form SSA-120 for obtaining access to SSA systems. The request must adhere to the minimum access necessary for respondents to perform job duties. SSA requires supervisor approval, and local or component security officer review prior to granting the requested access. The respondents are SSA employees and non-Federal employees (contractors) needing access to SSA systems.

The latest form for Application for Access to SSA Systems expires 2021-05-31 and can be found here.

OMB Details

Application for Access to SSA

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-120Application For Access to SSA SystemsPaper OnlyForm and instruction

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