SSNs are essential for functioning in the society, and as a consequence, they are highly vulnerable to misuse. Safeguarding the integrity of children's SSNs is particularly important, since the theft of a child's SSN may go unnoticed for years. While SSA has taken steps to strengthen its enumeration processes, several vulnerabilities remain. Because SSA does not conduct comprehensive integrity reviews of vital statistics agencies or require that these agencies conduct similar reviews of hospitals, SSA lacks information to assess its potential exposure to error or fraud, identify aspects of the birth registration process that are most problematic, and develop safeguards to ensure the integrity of the data it relies on to enumerate millions of children.
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