Request for Social Security Earnings Information

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SSA-7050 Request fo Social Security Earning Information	Form	Modified	Available
Supporting Statement - 0525 (final).docx	Supporting Statement A	Uploaded 2026-09-29	Available
Addendum - 0525 (Final).docx	Supplementary Document	Uploaded 2026-09-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9428	Request for Social Security Earnings Information	Form	Modified	Request fo Social Security Earning Information
9428	Request for Social Security Earnings Information	Other-Revised PA Statement	Modified

ICR Details

OMB Control No: 0960-0525	ICR Reference No: 202609-0960-001
Status: Received in OIRA	Previous ICR Reference No: 202012-0960-001
Agency/Subagency: SSA	Agency Tracking No:
Title: Request for Social Security Earnings Information
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/29/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2026
Responses	66,800	66,800
Time Burden (Hours)	12,247	12,247
Cost Burden (Dollars)	3,649,017	7,147,600

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Abstract: The Act permits wage earners, or their authorized representatives, to request Social Security earnings information from SSA using Form SSA-7050-F4. SSA uses the information the respondent provides on Form SSA-7050-F4 to verify the wage earner has: (1) earnings; (2) the right to access the correct Social Security Record; and (3) the right to request the earnings statement. If we verify all three items, SSA produces an Itemized Statement of Earnings (Form SSA-1826), which can be certified or non-certified, and includes the names and addresses of employers and the earnings associated with each employer, or a Certified Yearly Totals of Earnings, which only includes the total earnings for each year but does not include the names and addresses of employers, and sends it to the requestor. If we cannot verify the items, we will inform the respondent we cannot provide them with the requested Statement of Earnings due to this mismatch. The agency charges respondents for sending them an Itemized Statement of Earnings, or for a Certified Yearly Totals of Earnings. Respondents are wage earners and their authorized representatives who are requesting Itemized Statement of Earnings records or Certified Yearly Totals of Earnings.

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Authorizing Statute(s): US Code: 42 USC 405 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 48470	07/31/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 60677	09/24/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Request for Social Security Earnings Information	SSA-7050	Request fo Social Security Earning Information

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ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	66,800	66,800	0	0	0	0
Annual Time Burden (Hours)	12,247	12,247	0	0	0	0
Annual Cost Burden (Dollars)	3,649,017	7,147,600	0	0	-3,498,583	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $306,750

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/29/2026

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