Addendum To Supporting Statement

ADDENDUM TO SUPPORTING STATEMENT.doc

Application for Special Age-72-or-Over Monthly Payments

OMB: 0960-0096

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Addendum to the Supporting Statement for Form SSA-19-F6

Application for Special Age 72-or-Over Monthly Payments

20 CFR 404.380-404.384

OMB # 0960-0096


Revision to the Collection Instrument


We are revising the PRA statement to reflect our current boilerplate language.  The current language, which dates back to the last reprint of the form, is now outdated.



We are also revising the Privacy Act statement to ensure that it is accurate and complete.


File Typeapplication/msword
File TitleADDENDUM TO SUPPORTING STATEMENT
AuthorMandley, Tasha
Last Modified ByMandley, Tasha
File Modified2009-04-08
File Created2009-01-13

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