Justification for Non-Substantive Changes for Form SSA-150

Modified Benefit Formula Questionnaire

OMB#: 0960-0395

Justification for Non-Substantive Changes to the Collection or Resubmission of the Collection within One Year of OMB Approval

Change 1: We are adding the policy explaining why we modify the formula to compute benefits:

• A modified benefit formula is used to compute Social Security benefits for persons entitled to both a pension or annuity based on employment after 1956 not covered by Social Security and a Social Security retirement or disability insurance benefit. The difference in your Social Security benefit computed under the modified formula, rather than the regular benefit formula, cannot be greater than one-half the amount of the pension or annuity you received in the first month you are entitled to both the pension or annuity and the Social Security benefit.

Justification: We inadvertently omitted language that has been and should continue to be part of the form.