The following statement pertains to your Privacy Act Notice regarding the collection of your personal information. Section 205 of the Social Security Act authorize us to collect information needed to verify your identity and to record your chosen notice preference. Providing this information is voluntary. However, failure to provide all or part of the requested information may prevent the Social Security Administration from providing future notices the way you request them.

We rarely use the information for any reason other than the stated purpose. However, we may use it for the administration and integrity of Social Security programs as well as other permitted uses.

We may also disclose information to another person or to another agency in accordance with approved routine uses, which include but are not limited to:

(1) to enable a third party or an agency to assist Social Security in establishing rights to Social Security benefits and/or coverage;

(2) to comply with Federal laws requiring the release of information from Social Security records (e.g., to the Government Accountability Office and Department of Veteran Affairs);

(3) to make determinations for eligibility in similar health and income maintenance programs at the Federal, State, and local level; and

(4) to facilitate statistical research, audit or investigative activities necessary to assure the integrity of Social Security programs.

We may also use the information you provide in computer matching programs. Matching programs compare our records with records kept by other Federal, state or local government agencies. Information from these matching programs can be used to establish or verify a person’s eligibility for federally funded and administered benefit programs and for repayment of payments or delinquent debts under these programs.

A complete list of routine uses for this information is available in Systems of Record Notices 60-0089, 60-0090, 60-0103 and 60-0223. The notices, additional information regarding this application, and information regarding our programs and systems, are available online at or at your local Social Security office.