Information Collection

Application for Replacement Social Security Card - oSSNAP

IC 239280 under ICR 202208-0960-006 · OMB 0960-0066.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0066 can be found here:

Documents and Forms

Document Name Document Type
oSSNAP Screen Package - Current Screens.pdf Other-Internet and Intranet Screens
oSSNAP Screen Package - Current Screens.pdf Other-Internet and Intranet Screens
Express Interviews Pre-Screening Questions.docx Other-Pre-Screening Questions for Ex
Express Interviews Pre-Screening Questions.docx Other-Pre-Screening Questions for Ex
Race and Ethnicity Screen - Individual.pdf Other-Race and Ethnicity Screen for
Race and Ethnicity Screen - Individual.pdf Other-Race and Ethnicity Screen for
Race and Ethnicity Screen - Self.pdf Other-Race and Ethnicity Screen for
Race and Ethnicity Screen - Self.pdf Other-Race and Ethnicity Screen for
Race and Ethnicity Screen - Review and Edit Summary.pdf Other-Race and Ethnicity Summary Scr
Race and Ethnicity Screen - Review and Edit Summary.pdf Other-Race and Ethnicity Summary Scr

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Replacement Social Security Card - oSSNAP	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 422.103 - 422.110

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet and Intranet Screens	oSSNAP Screen Package - Current Screens.pdf	Yes	Yes	Fillable Fileable Signable
Other-Pre-Screening Questions for Express Service Appointments	Express Interviews Pre-Screening Questions.docx	No		Printable Only
Other-Race and Ethnicity Screen for an Individual (other than Self)	Race and Ethnicity Screen - Individual.pdf	Yes	Yes	Fillable Fileable Signable
Other-Race and Ethnicity Screen for Individuals Applying on their own behalf	Race and Ethnicity Screen - Self.pdf	Yes	Yes	Fillable Fileable Signable
Other-Race and Ethnicity Summary Screen	Race and Ethnicity Screen - Review and Edit Summary.pdf	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: 866,575	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	866,575	866,575
Annual IC Time Burden (Hours)	852,132	852,132
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.