If you have an overpayment debt, you may be eligible to make a full or partial payment using Pay. Gov or your bank's online bill pay option.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. Using your bank's online bill pay feature, to make a payment to "Social Security Administration. " • Send us a check for the entire amount of the overpayment. IMPORTANT: If we told you in the overpayment notice that you are responsible for a family member's overpayment, complete Section 3. Otherwise, go to Section 4. File your request within 30 days and SSA will stop taking the overpayment out of your benefits until after they reach a decision on your reconsideration.