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Clayton State University
Social Security Number Usage Survey

To make the Social Security Number (SSN) Conversion successful, please provide the requested information about each system, application or database for which you or your department utilize.  Please submit one form per system, application or database.

Please complete all fields and press submit when complete. 
For questions about this survey, please contact Tom Marshall in OITS (email:
tommarshall@clayton.edu or ext. 5154). 
Responses due by: Monday, November 7, 2005.

Person submitting form  

Department 

Phone 

Email 

Choose one (System, Application or Database)

Person responsible for System, Application or Database

Name of System, Application or Database

Format of data (Electronic or Paper Format)

Please provide details about the system, including application, database or program used, type of forms, etc.  Include as much detail as possible.

Is the SSN in this system, application or database required by law or business necessity?

Who has access to the data in this system, application or database?  (List all applicable faculty, staff and/or departments.)

Are you planning new software purchases in the next 6 months which will require a Social Security Number as the primary identifier? 

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