Automated Telephone Requestors SSA-1099/1042S

Internet Request for Replacement of Form SSA-1099/SSA-1042S

Privacy Act Statement

Automated Telephone Requestors SSA-1099/1042S

OMB: 0960-0583

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Abbreviated Privacy Act Statement language N8NN Telephone Call Flow



Section 205 of the Social Security Act as amended, authorizes us to request and collect certain information about you for us to permit access to our automated telephone application system. The Privacy Act (5 U.S.C. § 552a(b)) permits us to disclose the information you provide to us in accordance with approved routine uses. You do not have to use our telephone services, and your responses to the questions we ask are voluntary. However, failure to provide the information will prevent you from using our automated telephone services.

Additional information regarding this system’s collection of identity data elements, routine uses of information, and other Social Security programs are available on our Internet website, www.socialsecurity.gov, or at your local Social Security office.

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