Request for Correction of Earnings Record (Paper)

Request for Correction of Earnings Record

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0029 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-7008 Request for Correction of Earnings Record (Paper) Form
PA Statement for SSA-7008 - revised.pdf Other-Revised Privacy Act Statement
SSA-7008 Request for Correction of Earnings Record SSA-7008 - Revised Version.pdf Form
SSA-7008 - Current Version.pdf Current SSA-7008 IC Document

Information Collection (IC) Details

IC Title:	Request for Correction of Earnings Record (Paper)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.820 20 CFR 422.125

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-7008	Request for Correction of Earnings Record	SSA-7008 - Revised Version.pdf		No		Paper Only
Other-Revised Privacy Act Statement			PA Statement for SSA-7008 - revised.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 37,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	37,500	37,500
Annual IC Time Burden (Hours)	6,250	6,250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Current SSA-7008	SSA-7008 - Current Version.pdf	12/26/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.