Application for a Social Security Card

Forms and Documents

Document Name	Status
Form SS-5 Application for a Social Security Card - no need to provide parent's SSN Form and Instruction	Modified
Form SS-5 Application for a Social Security Card - Asking for Replacement Card beyond allowable limits Form and Instruction	New
Form SS-5 Application for a Social Security Card - need to provide parent's SSN Form and Instruction	New
Form SSA-2935-OP1 Authorization to the Social Security Administration to Obtain Personal Information Form and Instruction	Modified
Form SSA-2935-OP1 Authorization to the Social Security Administration to Obtain Personal Information Form and Instruction	Modified
Addendum - 0066.doc Supplementary Document	2012-01-19
Supporting Statement - 0066.doc Supporting Statement A	2012-01-19

IC Document Collections

IC ID	Document Title	Status
9002	Application for a Social Security Card - no need to provide parent's SSN Form and Instruction	Modified
199949	Application for a Social Security Card - Asking for Replacement Card beyond allowable limits Form and Instruction	New
199948	Application for a Social Security Card - Age 12 or older, additional questions Other-Internal Screens	New
199946	Application for a Social Security Card - need to provide parent's SSN Form and Instruction	New
198351	Authorization to the Social Security Administration to Obtain Personal Information Form and Instruction	Modified
198350	Authorization to the Social Security Administration to Obtain Personal Information Form and Instruction	Modified

ICR Details

OMB Control No: 0960-0066	ICR Reference No: 201110-0960-012
Status: Historical Active	Previous ICR Reference No: 201108-0960-011
Agency/Subagency: SSA	Agency Tracking No:
Title: Application for a Social Security Card
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/26/2012
	Date Received in OIRA: 01/26/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2015	36 Months From Approved	05/31/2012
Responses	12,001,600	0	13,585,000
Time Burden (Hours)	1,722,517	0	1,933,250
Cost Burden (Dollars)	9,500,000	0	8,367,000

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Abstract: The SSA-9308 and SSA-9308 serves as cover letters to request evidence or request a signed Form SSA-2935-U3 Authorization to the Social Security Administration to Obtain Personal Information" from the applicant/parent/guardian/custodian of record. We are making minor changes to the forms SSA-9308 and SSA-9310. 1)We are changing Form SSA-9308 to SSA-L2937. We are also removing reference to the 1-800 numbers, because several regional reviewers' toll-free numbers are not 800 numbers. The change will allow regional reviewers to type their specific toll-free number without making strikeouts in the letter. 2)We are changing Form SSA-9310 to SSA-L2938. We are also removing reference to the 1-800 numbers, because several regional reviewers' toll-free numbers are not 800 numbers. The change will allow regional reviewers to type their specific toll-free number without making strikeouts in the letter.

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Authorizing Statute(s): US Code: 42 USC 405 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 71105	11/16/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 2114	01/13/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Application for a Social Security Card - need to provide parent's SSN	SS-5-FS, SS-5	Application for a Social Security Card ,   Application for a Social Security Card (Foreign Service)
Application for a Social Security Card - Asking for Replacement Card beyond allowable limits	SS-5, SS-5-FS	Application for a Social Security Card ,   Application for a Social Security Card (Foreign Service)
Application for a Social Security Card - Age 12 or older, additional questions
Application for a Social Security Card - no need to provide parent's SSN	SS-5, SS-5-FS	Application for a Social Security Card ,   Application for a Social Security Card (Foreign Service)
Authorization to the Social Security Administration to Obtain Personal Information	SSA-2935-OP1	Authorization to SSA to Obtain Personal Information
Authorization to the Social Security Administration to Obtain Personal Information	SSA-2935-OP1	Authorization to SSA to Obtain Personal Information

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	12,001,600	13,585,000	0	0	-1,583,400	0
Annual Time Burden (Hours)	1,722,517	1,933,250	0	0	-210,733	0
Annual Cost Burden (Dollars)	9,500,000	8,367,000	0	0	1,133,000	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The decrease in the burden is due to the fluctuation in the number of annual respondents. SSA bases our estimates on systematic data, and we estimate the numbers accordingly. In addition, we needed to revise this Information Collection Request to show the categories listed in the chart above (see #12). These categories have not changed since the last time we received approval; however, we inadvertently did not create separate ICs for each one. Therefore, we added several ICs to this request to accommodate each line of the chart. The increase in the cost burden estimate is due to fluctuations in costs, and inflation rates.

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Annual Cost to Federal Government: $62,832,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/26/2012

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