Certification of Elections for Reduced Spouse's Benefits

Privacy Act Statement

Collection and Use of Personal Information

Section 202(q)(5)(A) of the Social Security Act, as amended, authorizes us to collect the information. We will use the information you provide to assist us in making a decision on your benefits.

Furnishing us this information is voluntary. However, failing to provide us with all or part of the information could prevent us from making an accurate decision on your benefits.

We rarely use the information you supply for any purpose other than the reason stated above. However, we may use the information for the administration of our programs, including sharing information:

1. 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); and,

2. To facilitate statistical research, audit, or investigative activities necessary to ensure the integrity and improvement of our programs (e.g., to the Bureau of the Census and to private entities under contract with us).

A list of when we may share your information with others, called routine uses, is available in our System of Records Notice entitled, Master Beneficiary Record, 60-0090. Additional information about these and other system of records notices and our programs, is available on-line at www.socialsecurity.gov or at your local Social Security office.

We may share the information you provide to other agencies through computer matching programs. Matching programs compare our records with records kept by other Federal, State, or local government agencies. We can use the information from these matching programs 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.