Form SSA-L725 Letter to Employer Requesting Information About Wages Ea

See revised PRA

See Revised
Privacy Act
Statement

SSA will insert the following revised Privacy Act Statement into the form
at its next scheduled reprinting:

Privacy Act Statement
Collection and Use of Personal Information
Sections 205(a), 205(c)(2), and 233 of the Social Security Act, as amended, the Federal
Records Act of 1950 (64 Stat. 583), the Employee Retirement Income Security Act of
1974 (Pub. L. 93-406), the Coal Industry Retiree Health Benefit Act of 1992 (Pub. L.
102-486, 106 Stat. 2776) and our regulations at 20 CFR 404.703, authorize us to collect
this information. We will use the information to determine your employee’s eligibility for
Social Security Benefits.
The information you furnish on this form is voluntary. However, we need your
cooperation to assure that the above-named person’s wage record is accurate and that we
can correctly determine eligibility for Social Security benefits.
We rarely use the information you supply for any purpose other than for determining
continued eligibility. However, we may use it for the administration and integrity of
Social Security programs. We may also disclose information to another person or to
another agency in accordance with approved routine uses, which include but are not
limited to the following:
1. To enable a third party or an agency to assist Social Security in establishing rights to
Social Security benefits and/or coverage;
2. To comply with Federal laws requiring the release of information from Social
Security records (e.g., to the Government Accountability Office and Department of
Veterans’ Affairs);
3. To make determinations for eligibility in similar health and income maintenance
programs at the Federal, State, and local level; and,
4. To facilitate statistical research, audit, or investigative activities necessary to assure
the integrity of Social Security programs.
We may also use the information you provide in computer matching programs. Matching
programs compare our records with records kept by other Federal, State, or local
government agencies. Information from these matching programs can be used to establish
or verify a person’s eligibility for Federally-funded or administered benefit programs and
for repayment of payments or delinquent debts under these programs.

A complete list of routine uses of the information is available in our System of Records
Notice entitled, Earnings Recording and Self-Employment Income System, 60-0059.
Additional information about our programs and systems is available on-line at
www.socialsecurity.gov or at your local Social Security office.

SSA will insert the following revised PRA Statement into the form at its
next scheduled reprinting:
Paperwork Reduction Act Statement - 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 (OMB) control number. The OMB control number for this
collection is 0960-0034. We estimate that it will take 40 minutes to read the instructions,
gather the facts, and answer the questions. Send only comments relating to our time
estimate above to: SSA, 6401 Security Blvd, Baltimore, MD 21235-6401.