The agency made clarifying edits to the supporting statement.
When the agency seeks triannual renewal of this information collection, it will ensure that it provides a business process for respondents to electronically submit payment. It can consider, for example, accepting payment through a separate or third-party payment tool (e.g. pay.gov) and provide respondents to this form the ability to transcribe the unique confirmation number correspondent to the pay.gov payment to facilitate validation of the payment.
If the agency determines it is incapable of facilitating web-based payments, it will provide a memo to the OIRA Administrator, signed by a Deputy Commissioner, that addresses the following factors:
1) The specific business process that prohibit the agency from using an internal or third-party payment processor. This will include describing the role, responsibility, and permissions of each individual who would be involved in processing this form.
2) Whether there are (and what are the) technical or information technology limitations that prevent the agency from processing electronic information.
3) Whether accepting handwritten credit card information reflects financial information best practices and is consistent with both government and industry standards related to protecting and processing financial information, with specific reference to the relevant industry or government standards (and a fact-specific explanation as to why this form satisfies these standards).
4) An estimation of the cost of developing a business process or information technology system for accepting online payment.
5) Any pain points or limitations imposed by other agencies that are inhibiting the agency from pursuing, in a timely manner, the updates required under these terms of clearance.
If, no earlier than 12 months after this ICR is approved, SSA perceives it cannot satisfy the requirements of these terms of clearance due to limitations that are related to another agency's policies or technical requirements, the agency will coordinate a meeting between OMB, SSA, and the other relevant agency.
Inventory as of this Action
Requested
Previously Approved
09/30/2026
36 Months From Approved
09/30/2023
66,800
0
66,800
12,247
0
12,247
7,147,600
0
3,812,761
The Social Security Act permits wage earners, or their authorized representative, to request Social Security earnings information from SSA using Form SSA-7050-F4. SSA uses the information the respondent provides on Form SSA-7050-F4 to verify the wage earner has: (1) earnings; (2) the right to access the correct Social Security Record; and (3) the right to request the earnings statement. If we verify all three items, SSA produces an Itemized Statement of Earnings (Form SSA-1826) and sends it to the requestor. The respondents are wage earners and their authorized representatives who are requesting Itemized Statement of Earnings records.
US Code:
42 USC 405
Name of Law: Social Security Act
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Form SSA-7050 Request fo Social Security Earning Information
Supporting Statement - 0525 -(clean copy).docx
Request for Social Security Earnings Information