Privacy Act Statement
Collection and Use of Information From the Application
Sections 202(a), 205(a), 1631(e) and 1872 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 the information may prevent an accurate and timely decision on any claim filed and could result in the loss of some benefits.
We will use the information to make a determination of eligibility for benefits for you and your dependents. We may also share your information for the following purposes, called routine uses:
To State audit agencies for auditing State supplementation payments and Medicaid eligibility considerations; and
To Federal, State or local agencies for administering cash or non-cash income maintenance or health maintenance programs.
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) 60-0059, entitled Earnings Recording and Self-Employment Income System, as published in the Federal Register (FR) on January 11, 2006 at 71 FR 1819; 60-0089, entitled Claims Folders System, as published in the FR on April 1, 2003 at 84 FR 58422; 60-0090, entitled Master Beneficiary Record, as published in the FR on January 11, 2006 at 71 FR 1826; and 60-0103, entitled Supplemental Security Income Record and Special Veterans Benefits, as published in the FR on January 11, 2006 at 71FR 1830. Additional information, and a full listing of all of our SORNs, is available on our website at www.ssa.gov/privacy
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Etter, Neil |
File Modified | 0000-00-00 |
File Created | 2022-04-15 |