Supplemental Statement Regarding Farming Activities of Persons Living Outside the U.S.A.

SSA will insert the following revised Privacy Act Statement into the form as soon as possible:

PRIVACY ACT STATEMENT

Collection and Use of Personal Information

Section 205(c)(2)(A) of the Social Security Act, as amended, allows us to collect this information. We will use the information you provide to give the employee credit for the correct amount of wages.

Furnishing us this information is voluntary. However, failing to provide all or part of the information may prevent us from giving the employee credit for the correct amount of wages.

We rarely use the information you supply for any purpose other than what we state 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 our 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 Privacy Act System of Records Notices, 60-0059, entitled Earnings Recording and Self-Employment Income System. Additional information about these and other system of records notices and our programs is available from our Internet website at www.socialsecurity.gov or at your local Social Security office.

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 incorrect payments or delinquent debts under these programs.