Request for Social Security Earnings Information

SSA will insert the following revised Privacy Act & PRA Statements into the
form as soon as possible:
Privacy Act Statement
Collection and Use of Personal Information

Section 205 of the Social Security Act, as amended, allows us to collect this information. In
addition, the Budget and Accounting Act of 1950 and Debt Collection Act of 1982 authorize us
to collect credit card information, if you choose to pay for the earnings information you have
requested with a credit card. Furnishing us this information is voluntary. However, failing to
provide all or part of the information may prevent us from processing your request.
We will use the information you provide to identify the records, process your request, and send
the earnings information you request. We may also share the information for the following
purposes, called routine uses:
•

To the Internal Revenue Service (IRS) for auditing SSA’s compliance with the
safeguard provisions of the Internal Revenue Code of 1986, as amended; and

•

To contractors and other Federal agencies, as necessary, for the purpose of, assisting
the Social Security Administration (SSA) in the efficient administration of its
programs. We will disclose information under this routine use only in situations in
which SSA may enter into a contractual or similar agreement with a third party to
assist in accomplishing any Agency function relating to this system of records.

In addition, we may share this information in accordance with the Privacy Act and other Federal
laws. For example, where authorized, we may use and disclose this information in computer
matching programs, in which our records are compared with other records to establish or verify a
person’s eligibility for Federal benefit programs and for repayment of incorrect or delinquent
debts under these programs.
A list of additional routine uses is available in our Privacy Act System of Records Notices
(SORNs) 60-0059, Earnings Recording and Self-Employment Income System, as published in
the Federal Register (FR) on January 11, 2006, at 71 FR 1819; 60-0090, Master Beneficiary
Record, as published in the FR on January 11, 2006, at 71 FR 1826; 60-0224, SSA-Initiated
Personal Earnings and Benefit Estimate Statement (SIPEBES), as published in the FR on
October 27, 1994, at 59 FR 54004; and 60-0231, Social Security Online Accounting and
Reporting System, as published in the FR on January 14, 2020, at 85 FR 2224. Additional
information, and a full listing of all of our SORNs, is available on our website at
www.ssa.gov/privacy.

Paperwork Reduction Act Statement - This information collection meets the requirements of
44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not
need to answer these questions unless we display a valid Office of Management and Budget
(OMB) control number. We estimate that it will take about 11 minutes to read the instructions,
gather the facts, and answer the questions. Send only comments regarding this burden estimate
or any other aspect of this collection, including suggestions for reducing this burden to: SSA,
6401 Security Blvd, Baltimore, MD 21235-6401.