Form SSA-2000-F6 Application for Special Benefits for World War II Vetera

Insert the following:
in the Phillipines,
or any Local U.S.
Social Security.
Add the following: If you live in the Philippines, you may contact:
Social Security Administration
1201 Roxas Boulevard
Ermite 0930 Manila
Telephone: 632-301-2000 Ext. 9
Email: [email protected]

Delete

See Revised Privacy Act
Statement

See Revised Paperwork
Reduction Act Statement

Privacy Act Statement
Application for Special Benefits for World War II Veterans
Section 806 of Section 251 of P.L. 106-169, authorizes us to collect this information. We will use the
information you provide to determine whether you are eligible for Special Veterans Benefits.
Furnishing us this information is voluntary. However, failure to provide all or part of the information
could prevent us from making an accurate and timely decision on your claim, and could result in the loss
of some payments.
We generally use the information you supply for determining eligibility for Special Veterans Benefits.
We rarely use the information you supply for any purpose other than the reason stated above. However,
we may use it for the administration and integrity of Social Security programs. We may also disclose
information to another person or to another agency in accordance with approved routine uses, which
include but are not limited to the following:
1. To enable a third party or an agency to assist Social Security in establishing rights to Social
Security benefits and/or coverage;
2. To comply with Federal laws requiring the release of information from Social Security
records (e.g., to the Government Accountability Office and Department of Veterans’ Affairs);
3. To make determinations for eligibility in similar health and income maintenance programs at
the Federal, State, and local level; and,
4. To facilitate statistical research, audit, or investigative activities necessary to assure the
integrity and improvement of Social Security programs (e.g., to the Bureau of the Census and
private concerns under contract to Social Security).
We may also use the information you provide in computer matching programs. Matching programs
compare our records with records kept by other Federal, State, or local government agencies. Information
from these matching programs can be used to establish or verify a person’s eligibility for federally-funded
or administered benefit programs and for repayment of payments or delinquent debts under these
programs.
A complete list of routine uses for this information is available in our System of Records Notices entitled,
Master Files of Social Security Number (SSN) Holders and SSN Applications, 60-0058; Claims Folders
System, 60-0089; Supplemental Security Income Record and Special Veterans Benefits, 60-0103; and
Social Security Title VIII Special Veterans Benefits Claims Development and Management Information
System, 60-0273. These notices, additional information regarding this form, and information regarding
our systems and programs, are available on-line at www.socialsecurity.gov or at any local Social
Security office.

The following revised PRA Statement will be inserted into the form at its
next scheduled reprinting:
Paperwork Reduction Act Statement - This information collection meets the
requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork 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 20
minutes to read the instructions, gather the facts, and answer the questions. SEND OR
BRING THE COMPLETED FORM TO YOUR LOCAL SOCIAL SECURITY
OFFICE. The office is listed under U. S. Government agencies in your telephone
directory or you may call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).
You may send comments on our time estimate above to: SSA, 6401 Security Blvd,
Baltimore, MD 21235-6401. Send only comments relating to our time estimate to this
address, not the completed form.