Addendum to the Supporting Statement for 0960-0445

Addendum - 0445.doc

Application for Benefits Under the Italy-U.S. International Social Security Agreements

Addendum to the Supporting Statement for 0960-0445

OMB: 0960-0445

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Addendum to the Supporting Statement for Form SSA-2528

Application for Benefits Under the Italy-U.S. International Social Security Agreement

20 CFR 404.1925

OMB No. 0960-0445



Revisions 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  The current language, which dates back to the last reprint of the form, is now outdated.


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 this form.

File Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-2528
AuthorNaomi Lebowitz
Last Modified By177717
File Modified2009-12-30
File Created2009-12-30

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