Help America Vote Act (HAVA)

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

Sections 205(r)(8) and 1106 of the Social Security Act, as amended, allow us to collect this
information. Furnishing us this information is voluntary. However, failing to provide all or part
of the information may prevent us from returning a “match” or “no match” result.
We will use the information you provide to verify information for newly registered voters who
do not have a driver’s license or State ID card. We may also share your information for the
following purposes, called routine uses:
•

To student volunteer, persons working under a personal services contract, and others,
when they need access to information in our records in order to perform their assigned
agency duties; and

•

To contractors and other Federal agencies, as necessary, to assist us in efficiently
administering our programs

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 Notice
(SORN) 60-0058, entitled Master Files of Social Security Number (SSN) Holders and SSN
Applications, as published in the Federal Register (FR) on December 29, 2010, at 75 FR 82121.
Additional information, and a full listing of all 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 2 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.