Social Security Administration Application For A Social Security Card (Page 4 of 6) in pdf

Social Security Administration Application For A Social Security Card Page 4

Human Services for child support enforcement purposes. We may verify Social Security numbers for

State motor vehicle agencies that use the number in issuing drivers licenses, as authorized by the

Social Security Act. Finally, we may disclose information to your Congressional representative if they

request information to answer questions you ask him or her.

We may use the information you give us when we match records by computer. Matching programs

compare our records with those of other Federal, State, or local government agencies to determine

whether a person qualifies for benefits paid by the Federal government. The law allows us to do this

even if you do not agree to it.

Explanations about these and other reasons why information you provide us may be used or given

out are available in Social Security offices. If you want to learn more about this, contact any Social

Security office.

The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in

accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of

1995. We may not conduct or sponsor, and you are not required to respond to, a collection of

information unless it displays a valid OMB control number.

TIME IT TAKES TO COMPLETE THIS FORM

We estimate that it will take you about 8.5 to 9 minutes to provide the information. This includes the

time it will take to read the instructions, gather the necessary facts and provide the information. All

requests for Social Security cards and other claims-related information should be sent to your

local Social Security office, whose address is listed under Social Security Administration in the

U.S. Government section of your telephone directory. Comments or suggestions on our “Time it

Takes” estimate are welcome and should be addressed to: Social Security Administration, ATTN:

Reports Clearance Officer, 1-A-21 Operations Building, Baltimore, MD 21235-0001. SEND ONLY

COMMENTS ON OUR “TIME IT TAKES” ESTIMATE TO THIS ADDRESS.

Form SS-5 Internet (2-98)

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Social Security Administration Application For A Social Security Card Page 4