Request for Social Security Earnings Information

ICR 202009-0960-012

OMB: 0960-0525

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2020-09-21
Justification for No Material/Nonsubstantive Change
2020-09-21
IC Document Collections
IC ID
Document
Title
Status
9428 Modified
ICR Details
0960-0525 202009-0960-012
Active 201901-0960-006
SSA
Request for Social Security Earnings Information
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/22/2020
Retrieve Notice of Action (NOA) 09/21/2020
  Inventory as of this Action Requested Previously Approved
12/31/2020 12/31/2020 12/31/2020
66,800 0 66,800
12,247 0 12,247
3,812,761 0 3,812,761

The Social Security Act permits wage earners, or their authorized representative, to request Social Security earnings information from SSA using Form SSA-7050-F4. SSA uses the information the respondent provides on Form SSA-7050-F4 to verify the wage earner has: (1) earnings; (2) the right to access the correct Social Security Record; and (3) the right to request the earnings statement. If we verify all three items, SSA produces an Itemized Statement of Earnings (Form SSA-1826) and sends it to the requestor. The respondents are wage earners and their authorized representatives who are requesting Itemized Statement of Earnings records. This is a Non-Substantive Change Request to update the fees on the form.

US Code: 42 USC 405 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  82 FR 12878 03/07/2017
82 FR 22173 05/12/2017
No

1
IC Title Form No. Form Name
Request for Social Security Earnings Information SSA-7050 Request fo Social Security Earning Information

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 66,800 66,800 0 0 0 0
Annual Time Burden (Hours) 12,247 12,247 0 0 0 0
Annual Cost Burden (Dollars) 3,812,761 3,812,761 0 0 0 0
No
No

$245,773
No
    Yes
    Yes
No
No
No
No
Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/21/2020


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