Write a letter to the Social Security Administration. Tell them how much you can afford to pay each month.If we can't waive collection, we may use this form to decide how you should repay the money. Please answer the questions on this form as completely as you can. If the Social Security Administration sent you a notice about an overpayment you owe, you can make a secure payment here. The effective date for each particular. 5 provision contained within such Part is set forth in the last section of.