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It turns out that in some states (e.g. Michigan), the registration is so automaticthat nobody in the hospital can control it -- all birth certificates sent to the State Health Dept eventually get shared with the Social Security Admin.
It also turns out that the hospital report has distinct advantages; it involves no expense or inconvenience to the parents. If, instead of registering the kid for SocSec straight from the maternity ward, the parents try to register their kid separately (as might happen if the baby doesn't get a name until weeks after birth), a parent - with ID - has to bring the baby into the SocSec office - with the baby's birth certificate; and I think there's a small fee for this separate registration.
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