Current SSA-L8553

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Form SSA-L8553 (09-2022)
Discontinue Prior Editions

SOCIAL SECURITY ADMINISTRATION
OFFICE OF QUALITY REVIEW

FAX:

OMB No. 0960-0189

Date:

Claim Number:

Dear
Each month the Social Security Administration (SSA) asks a few people, who receive benefit
payments, to help us make sure we pay everyone the correct amount of money. We picked you this
month by chance, not for any other reason.
To make sure you receive the correct amount, I would like to telephone you at your home
on
at
.
I work in the Office of Quality Review, which is a special reviewing section in SSA, and is separate
from the office that processed your claim. If you would like to verify that this is a legitimate letter, you
can call SSA. The national toll-free number is (800) 772-1213.

··
··
·

What Will Happen When I Call You
I will identify myself by name as shown at the bottom of this letter.
I will ask you some questions about your benefits. The Social Security Act that allows
this review is enclosed.

How You Can Prepare For My Call
I have enclosed a form with the items checked that you should have available when I call.
You may have a friend or relative present to help you during the call.
Review the enclosed copy of your Earnings Record.

Please Return the Enclosed Form to Me
Please complete and sign forms SSA-8552 and SSA-2935-U3, and mail them to me in
the enclosed envelope. You do not need a stamp.
If you have any questions, you may call me at my office between

My telephone number is
Enclosures:
SSA-8552
SSA-2935-U3
SSA-85
Envelope

.

and

Thank you.

Sincerely,
Quality Review Analyst

.

Page 2 of 2

Form SSA-L8553 (09-2022)

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. §
3507, as amended by section 2 of the Paper Reduction Act of 1995. You do not need to answer these
questions unless we display a valid Office of Management and Budget control number. We estimate that it will
take about 40-50 minutes to read the instructions, gather the facts, and answer the questions. You may send
comments on our time estimate about to: SSA, 6401 Security Blvd., Baltimore, MD 21235-6401. Send only
comments relating to our time estimate to this address, not the complete form.