Request for Social Security Earnings Information

OMB 0960-0525

OMB 0960-0525

The Social Security Act permits wage earners, or their authorized representative, 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) and sends it to the requestor. The respondents are wage earners and their authorized representatives who are requesting Itemized Statement of Earnings records. This is a Non-Substantive Change Request to update the fees on the form.

The latest form for Request for Social Security Earnings Information expires 2021-01-31 and can be found here.

All Historical Document Collections
Revision of a currently approved collection 2020-12-08
Approved without change
No material or nonsubstantive change to a currently approved collection 2020-09-21
Approved without change
No material or nonsubstantive change to a currently approved collection 2019-02-01
Approved without change
No material or nonsubstantive change to a currently approved collection 2018-07-31
Approved without change
Revision of a currently approved collection 2017-06-12
Approved without change
No material or nonsubstantive change to a currently approved collection 2016-10-31
Approved without change
No material or nonsubstantive change to a currently approved collection 2014-08-14
Approved without change
Revision of a currently approved collection 2014-05-14
Approved without change
No material or nonsubstantive change to a currently approved collection 2013-11-06
Approved without change
Revision of a currently approved collection 2011-03-10
Approved without change
Revision of a currently approved collection 2008-01-20
Approved without change
Extension without change of a currently approved collection 2004-11-24
Approved without change
Extension without change of a currently approved collection 2001-10-04
Approved without change
No material or nonsubstantive change to a currently approved collection 2001-09-24
Approved without change
Revision of a currently approved collection 1998-08-24
Approved without change
Revision of a currently approved collection 1995-06-23
Approved without change
New collection (Request for a new OMB Control Number) 1993-12-08

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