Justification for Non-Substansive Changes for Form SSA-150

Non-Substantive Changes.doc

Modified Benefit Formula Questionnaire

Justification for Non-Substansive Changes for Form SSA-150

OMB: 0960-0395

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Justification for Non-Substantive Changes for Form SSA-150

Modified Benefit Formula Questionnaire

OMB#: 0960-0395



Justification for Non-Substantive Changes to the Collection or Resubmission of the Collection within One Year of OMB Approval


Change 1: We are adding the policy explaining why we modify the formula to compute benefits:


  • A modified benefit formula is used to compute Social Security benefits for persons entitled to both a pension or annuity based on employment after 1956 not covered by Social Security and a Social Security retirement or disability insurance benefit. The difference in your Social Security benefit computed under the modified formula, rather than the regular benefit formula, cannot be greater than one-half the amount of the pension or annuity you received in the first month you are entitled to both the pension or annuity and the Social Security benefit.


Justification: We inadvertently omitted language that has been and should continue to be part of the form.


File Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-2528
AuthorNaomi Lebowitz
Last Modified By889123
File Modified2011-07-22
File Created2011-07-22

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