Current SSA-8552

Form SSA-8552 (09-2022)
Discontinue Prior Editions
Social Security Administration

Page 1 of 2
OMB No. 0960-0189

PLEASE COMPLETE AND RETURN THIS FORM TO ME
Interview Confirmation

Claim Number:

1. I/We will be available for your interview as scheduled.
YES
NO
If NO, please phone me as soon as possible to schedule a more convenient time.
2. My telephone number is: (

3. My address is:

4. Signature:
Date:

)

.

Form SSA-8552 (09-2022)

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Privacy Act Statement
Collection and Use of Personal Information
Sections 205(a), 228(a), 1614(a) and 1836 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 this
information may prevent us from verifying your eligibility for benefits.
We will use the information to check data for accuracy and to verify documentation used to establish your
eligibility for benefits. We may also share the information for the following purposes, called routine uses:
1. To third party contacts in situations where the party to be contacted has, or is expected to have,
information relating to the individual's capability to manage their affairs or eligibility for or entitlement
to benefits under the Social Security program when the data are needed to establish the validity of
evidence or to verify the accuracy of information presented by the individual; and
2. 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 the routine use only in situations in which SSA may enter into a contractual or
similar agreement with a third party to assist in accomplishing an 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 (SORN) 60-0040,
entitled Quality Review System; and 60-0090, Master Beneficiary Record. Additional information and a full
listing of all our SORNs are available on our website at
https://www.socialsecurity.gov/foia/bluebook.

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 5 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.