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SSA will insert the following revised Privacy Act Statement into the form as soon
as possible:
Privacy Act Statement
Collection and Use of Personal Information

Section 205 of the Social Security Act, as amended, allows us to collect this information.
Furnishing us this information is voluntary. However, failing to provide all or part of the
information may prevent you from using our electronic services.
We will use this information to identify who you are before we provide you with the information
you are requesting. We may also share your information for the following purposes, called
routine uses:
•

To other Federal agencies and our contractors, including external data sources, to assist
us in efficiently administering our programs; and

•

To appropriate Federal, State, and local agencies, entities, and persons when: (a) We
suspect or confirm a compromise of security or confidentiality of information; (b) We
determine that, as a result of the suspected or confirmed compromise, there is a risk of
harm to economic or property interests, risk of identity theft or fraud, or risk of harm to
the security or integrity of this system or other systems or programs that rely upon the
compromised information; and (c) We determine that disclosing the information to such
agencies, entitles and persons will assist us in our efforts to respond to the suspected or
confirmed compromise and prevent, minimize, or remedy any harm.

In addition, we may share this information in accordance with the Privacy Act and other Federal
laws. For example, where authorized, we may use and disclose this information in computer
matching programs, in which our records are compared with other records to establish or verify a
person’s eligibility for Federal benefit programs and for repayment of incorrect or delinquent
debts under these programs.
A list of additional routine uses is available in our Privacy Act System of Records Notice
(SORN) 60-0373, entitled Central Repository of Electronic Authentication Data Master File, as
published in the Federal Register (FR) on December 19, 2010, at 75 FR 79065. Additional
information, and a full listing of all of our SORNs, is available on our website at
www.ssa.gov/privacy.