Addendum to Supporting Statement 0960-0138

Addendum 0138.doc

Letter to Employer Requesting Wage Information

Addendum to Supporting Statement 0960-0138

OMB: 0960-0138

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Addendum to

Supporting Statement for Form SSA-L4201

Letter to Employer Requesting Wage Information

OMB No. 0960-0138



Minor Revisions to the Collection Instrument


SSA is making the following revisions:


SSA’s Office of the General Counsel is conducting a systematic review of SSA’s Privacy Act Statements on agency forms. As a result, SSA is updating the Privacy Act Statement on the form.


File Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
Last Modified ByDebbie
File Modified2009-04-03
File Created2009-04-03

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