Document
Certification of Elections for Reduced Spouse's Benefits
ICR 202607-0960-001 · OMB 0960-0398 · Object 170707700.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Certification of Elections for Reduced Spouse's Benefits |
| Author | Sasha Nsafoah |
| Last Modified By | Writer |
| File Modified | 2026-02-12 |
| File Created | 2026-08-01 |
| Conversion State | complete |
Extracted Text
Privacy Act Statement Collection and Use of Personal Information Section 202(q)(5)(a) of the Social Security Act, as amended, allows us to collect this information, which we will use to determine benefits eligibility. Providing this information is voluntary, but not providing all or part of the information may prevent an accurate and timely decision on your eligibility for spousal benefits. As law permits, we may use and share the information you submit, including with other Federal agencies, contractors, and others, as outlined in the routine uses within System of Records Notices 60-0089 and 60-0090, available at www.ssa.gov/privacy. The information you submit may also be used in computer matching programs for Federal benefits eligibility or to recoup debts under these programs.