Form Ss-5 - Application For A Social Security Card - Social Security Administration Page 4
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5THE PAPERWORK/PRIVACY ACT AND YOUR APPLICATION
The Privacy Act of 1974 requires us to give each person the following notice when applying for a
Social Security number.
Sections 205(c) and 702 of the Social Security Act allow us to collect the facts we ask for on this
form.
We use the facts you provide on this form to assign you a Social Security number and to issue you a
Social Security card. You do not have to give us these facts, however, without them we cannot
issue you a Social Security number or a card. Without a number, you may not be able to get a job
and could lose Social Security benefits in the future.
The Social Security number is also used by the Internal Revenue Service for tax administration
purposes as an identifier in processing tax returns of persons who have income which is reported to
the Internal Revenue Service and by persons who are claimed as dependents on someone's
Federal income tax return.
We may disclose information as necessary to administer Social Security programs, including to
appropriate law enforcement agencies to investigate alleged violations of Social Security law; to
other government agencies for administering entitlement, health, and welfare programs such as
Medicaid, Medicare, veterans' benefits, military pension, and civil service annuities, black lung,
housing, student loans, railroad retirement benefits, and food stamps; to the Internal Revenue
Service for Federal tax administration; and to employers and former employers to properly prepare
wage reports. We may also disclose information as required by Federal law, for example, to the
Department of Homeland Security, to identify and locate aliens in the U.S.; to the Selective Service
System for draft registration; and to the Department of Health and 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.
This information collection meets the requirements of 44 U.S.C. §3507, as amended by Section 2 of
the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we
display a valid Office of Management and Budget control number. We estimate that it will take
about 8.5 to 9.5 minutes to read the instructions, gather the facts, and answer the questions. You
may send comments on our time estimate above to: SSA, 6401 Security Blvd., Baltimore, MD
21235-6401. Send only comments relating to our time estimate to this address, not the
completed form.
MAIL OR TAKE THE COMPLETED FORM TO A LOCAL SOCIAL SECURITY OFFICE. The office
is listed under U.S. Government agencies in your telephone directory or you may call Social
Security at 1-800-772-1213. You may also locate the nearest Social Security office on the Internet
at
Page 4
Form SS-5 (05-2006)
ef (05-2006)
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