OMB control number

Request for Social Security Earnings Information

OMB 0960-0525 · SSA.

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.

The latest form for Request for Social Security Earnings Information expires 2026-09-30 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All Historical Document Collections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