View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Application for a Social Security Card
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 422.103-.110

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SS-5 No   Paper Only
Form and Instruction SS-5-FS No   Paper Only
Other-SSA Field Office Internal-Use Screen Shots Filled and Filed within field office No   Fillable Fileable Signable
Other-Revised PA Statement No   Paper Only
Form SS-5 No   Paper Only

Income Security General Retirement and Disability

 

13,584,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 13,584,000 0 0 0 0 13,584,000
Annual IC Time Burden (Hours) 1,933,000 0 0 0 0 1,933,000
Annual IC Cost Burden (Dollars) 8,367,000 0 0 0 0 8,367,000

Title Document Date Uploaded
Current Form SS-5 03/09/2009
Current SS-5-FS 03/12/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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