Justification for Non-Substantive Changes - 0525

Justification for the Non-Substantive Changes for Form SSA-7050

Deceased Individual’s Social Security Records

20 CFR 402.130

OMB No. 0960-0525

Justification for Non-Substantive Changes to the Collection

We are making the following revisions to the SSA-7050:

• Change #1: On page two section 2, we are changing the fee for the Itemized Statement of Earnings.

from: $91.00

to: $92.00

Justification #1: The fees for this form have changed.

• Change #2: On page two section 2, we are changing the fee for the Certified Yearly Totals of Earnings.

from: $34.00

to: $30.00

Justification #2: The fees for this form have changed.

• Change #3: On page three, under “Is There A Fee For Earnings Information”, we are changing the line that says we charge a $91.00 fee.

from: Yes. We charge a $91.00 fee

to: Yes. We charge a $92.00 fee

Justification #3: The fees for this form have changed.

• Change #4: On page three, under “Certified or Non- Certified Itemized Statement of Earnings”, we are changing the first sentence in paragraph two.

from: We will certify the itemized earnings information for an additional $34.00 fee

to: We will certify the itemized earnings information for an additional $30.00 fee

Justification #4: The fees for this form have changed.

• Change #5: On page three, under “Certified Yearly totals of Earnings”, we are changing the first sentence.

from: We charge $34 to certify yearly totals of earnings

to: We charge $30 to certify yearly totals of earnings

Justification #5: The fees for this form have changed.

• Change #6: On page four, under “How much do I have to pay for an Itemized Statement of Earnings?”, we are changing the Non-Certified Itemized Statement of Earnings fee.

from: $91.00

to: $92.00

Justification #6: The fees for this form have changed.

• Change #7: On page four, under “How much do I have to pay for an itemized Statement of Earnings?”, we are changing the Certified Itemized Statement of Earnings fee.

from: $125.00

to: $122.00

Justification #7: The fees for this form have changed.

• Change #8: On page four, under “How much do I have to pay for Certified yearly totals of Earnings ”, we are changing the Certified yearly totals of earnings cost.

from: $34.00

to: $30.00

Justification #8: The fees for this form have changed.

• Change #9: On page four, under “You can make your payment by credit card?”, we are changing the fees in the amount charged field.

from: $34.00, $91.00, or $125.00

to: $30.00, $92.00, or $122.00

Justification #9: The fees for this form have changed.

SSA will implement these changes to the SSA-7050 upon OMB approval.

This action does not affect the public reporting burden.