0960-0282 Privacy Act Statement (revised)

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

Sections 225(b) and 1631 of the Social Security Act, as amended, allow us to collect the information, which we will use to determine if the beneficiary who is enrolled in a vocational rehabilitation or other job-training program is eligible for continuing benefits, even if their disability has ceased. Providing the information is voluntary, but not providing all or part of the information may prevent us from determining the beneficiary’s continued eligibility for benefits. As law permits, we may use and share the information you submit, including with the Rehabilitation Service Administration, contractors, and others as outlined in the routine uses within System of Records Notices (SORN) 60-0050, 60-0221, and 60-0320, available at www.ssa.gov/privacy. The information you submit may also be used in computer matching programs to establish or verify eligibility for Federal benefit programs and to recoup debts under these programs.