Request for Social Security Earnings Information, 20 CFR 404.810, 20 CFR 401.100

Request for Social Security Earnings Information

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0525 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-7050-F4 Request for Social Security Earnings Information, 20 CFR 404.810, 20 CFR 401.100 Form
SSA-7050-F4 Request fo Social Security Earning Information SSA-7050 Revised Final.doc Form
SSA-7050.pdf SSA-7050 Current Version IC Document

Information Collection (IC) Details

IC Title:	Request for Social Security Earnings Information, 20 CFR 404.810, 20 CFR 401.100	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.810 20 CFR 401.100

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-7050-F4	Request fo Social Security Earning Information	SSA-7050 Revised Final.doc		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	60,400	60,400
Annual IC Time Burden (Hours)	11,073	11,073
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-7050 Current Version	SSA-7050.pdf	02/01/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.