Addendum to Supporting Statement for Form SSA-7050-F4
Request for Social Security Earnings Information
20 CFR 401.100 and 404.810
OMB No. 0960-0525
Minor Revisions to the Collection Instruments
SSA is making the following revisions:
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: $64.00
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 $64.00 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 line that says we charge $34 to certify yearly totals.
from: We charge $34 to certify yearly totals of earnings
to: We charge $64 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: $156.00
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: $64.00
Justification #8: The fees for this form has 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: $64.00, $92.00, or $156.00
Justification #9: The fees for this form has changed.
Change #10: We are revising the PRA statement on this form.
Justification #10: We are revising the PRA statement to reflect our current boilerplate language. The current language, which dates back to the last reprint of the form, is now outdated.
Change #11: We are revising the Privacy Act Statement on this form.
Justification #11: SSA’s Office of the General Counsel is conducting a systematic review of SSA’s Privacy Act Statements on agency forms. As a result, SSA is updating the Privacy Act Statement on the form.
SSA will implement these changes to the SSA-7050 upon OMB approval.
This action does not affect the public reporting burden.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | ADDENDUM TO SUPPORTING STATEMENT |
| Author | Naomi |
| File Modified | 0000-00-00 |
| File Created | 2021-01-13 |