Justification for Non-Substantive Changes for Form SSA-7050
Requests for Social Security Earnings Information
20 CFR 402.130
OMB No. 0960-0525
Justification for Non-Substantive Changes to the Collection or Resubmission of the Collection within One Year of OMB Approval
Please list your revisions to the collection instrument here, and explain why we need them. Please use the following format to document your revisions:
Change #1: On page two (2) section 2 of the Form SSA-7050, we request to change the fee for the Itemized Statement of Earnings.
from: $136.00
to: $115.00
Justification #1: The fees for this form have changed.
Change #2: On page two (2) section 2 of the Form SSA-7050, we request to change the fee for the Certified Yearly Totals of Earnings.
from: $56.00
to: $33.00
Justification #2: The fees for this form have changed.
Change #3: On page three (3) of the Form SSA-7050 Instruction, (under “Is There A Fee For Earnings Information”) we request to change the line that says we charge a $136 fee.
from: Yes. We charge a $136 fee
to: Yes. We charge a $115.00 fee
Justification #3: The fees for this form have changed.
Change #4: On page three (3) of the Form SSA-7050 Instruction, (under “Certified or Non- Certified Itemized Statement of Earnings”) we request to change paragraph two that says, “We will certify the itemized earnings information for an additional $56.00 fee”.
from: We will certify the itemized earnings information for an additional $56.00 fee
to: We will certify the itemized earnings information for an additional $33.00 fee
Justification #4: The fees for this form have changed.
Change #5: On page three(3) of the Form SSA-7050 Instruction, (under “Certified Yearly totals of Earnings”), we request to change the line that says we charge $56 to certify yearly totals.
from: We charge $56 to certify yearly totals of earnings
to: We charge $33 to certify yearly totals of earnings
Justification #5: The fees for this form have changed.
Change #6: On page four(4) of the Form SSA-7050 Instruction, (under “Where do I send my complete request?”), we request to change the address under the mail completed form section and if using a private contractor section.
from: Social Security Administration
Division of Earnings Record Operations
P.O.Box 33003
Baltimore, Maryland 21290-3003
to: Social Security Administration
Division of Earnings and Business Services
P.O.Box 33011
Baltimore, Maryland 21290-33011
Justification #6: The return address for this form has changed to a new P O Box.
Change #7: On page four(4) of the Form SSA-7050 Instruction, (under “How much do I have to pay for an Itemized Statement of Earnings?”), we request to change the Non-Certified Itemized Statement of Earnings fee.
from: $136
to: $115.00
Justification #7: The fees for this form have changed.
Change #8: On page four(4) of the Form SSA-7050 Instruction, (under “How much do I have to pay for an itemized Statement of Earnings?”), we request to change the Certified Itemized Statement of Earnings fee.
from: $192.00
to: $148.00
Justification #8: The fees for this form have changed.
Change #9: On page four(4) of the Form SSA-7050 Instruction, (under “How much do I have to pay for Certified yearly totals of Earnings ”), we request to change the Certified yearly totals of earnings cost .
from: $56.00
to: $33.00
Justification #9: The fee for this form has changed.
Change #10: On page four(4) of the Form SSA-7050 Instruction, (under “You can make your payment by credit card?”), we request to change the fees in the amount charged field.
from: $56.00, $136.00, or $192
to: $33.00, $115.00, or $148.00
Justification #10: The fee for this form has changed.
We will implement these changes upon approval. The changes occurred after the previous submission of the clearance package.
We wish to have changes immediately because executive-level personnel want changes to policy and forms across the board to align with changes made to component names.
| File Type | application/msword |
| File Title | ADDENDUM TO SUPPORTING STATEMENT |
| Author | Naomi |
| Last Modified By | Lowman, Eric |
| File Modified | 2016-09-15 |
| File Created | 2016-09-12 |