Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application for An Original Social Security Card - oSSNAP Unchanged 37323 55362 0 Other-Internet and Intranet Screens
Other-Internet and Intranet Screens
Other-Internet and Intranet Screens
Other-Internet and Intranet Screens
Other-Revised oSSNAP Screens (with updated race and ethnicity data)
Application for Original Social Security Card for Adult Non-U.S. Citizens - oSSNAP Unchanged 204081 302720 0 Other-Revised oSSNAP Screens (with updated race and ethnicity data)
Application for Replacement Social Security Card - oSSNAP Unchanged 822104 1219454 0 Other-Internet and Intranet Screens
Other-Pre-Screening Questions for Express Service Appointments
Other-Race and Ethnicity Screen for an Individual (other than Self)
Other-Race and Ethnicity Screen for Individuals Applying on their own behalf
Other-Race and Ethnicity Summary Screen
Other-Revised oSSNAP Screens (with updated race and ethnicity data)
Application for Replacement Social Security Card for Non-U.S. Citizen - oSSNAP Unchanged 84635 125542 0 Other-Revised oSSNAP Screens (with updated race and ethnicity data)
Application for a Social Security Card - Age 12 or older, additional questions (SSNAP Intranet Modalities) Unchanged 1113144 1743926 0 Other-Internal Screens
Other-Internal Screens
Other-Pre-Screening Questions for Express Service Appointments
Application for a Social Security Card - Asking for Replacement Card beyond allowable limits (Paper or SSNAP Intranet Modalities) Unchanged 6703 16087 0 Form and Instruction SS-5
Form and Instruction SS-5-FS
Other-Internal Screens
Other-Pre-Screening Questions for Express Service Appointments
Application for a Social Security Card - need to provide parent's SSN (Paper or SSNAP Intranet Modalities) Unchanged 207521 321658 0 Form and Instruction SS-5
Form and Instruction SS-5-FS
Other-Internal Screens
Other-Pre-Screening Questions for Express Service Appointments
Application for a Social Security Card - no changes (iSSNRC Internet Modality) Unchanged 3002698 1751574 0 Other-Internet Screens
Application for a Social Security Card - no need to provide parent's SSN (Paper or SSNAP Intranet Modalities) Unchanged 6973505 10808933 0 Form and Instruction SS-5
Form and Instruction SS-5-FS
Other-Internal Screens
Other-Pre-Screening Questions for Express Service Appointments
Application for a Social Security Card - with a name change (iSSNRC Internet Modality) Unchanged 1312 765 0 Other-Internet Screens
Authorization to the Social Security Administration to Obtain Personal Information Unchanged 500 825 0 Form and Instruction SSA-2935-OP1
Other-Cover Letter
Authorization to the Social Security Administration to Obtain Personal Information Unchanged 500 825 0 Form and Instruction SSA-2935-OP1
Other-Cover Letter
Enumeration at Birth - Hospital Staff Relaying State Birth Certificate Data to SSA Modified 3759517 2193052 0 Other-Template SSA Sends to States for Use with EAB Requests
Other-Sample Form for EAB (currently in use in Michigan)
Total burden requested under this ICR: 16213543 18540723 0  
To view an IC, click on IC Title