Addendum to the Supporting Statement 0960-0689

Addendum.doc

Certification of Contents of Document(s) or Record(s)

Addendum to the Supporting Statement 0960-0689

OMB: 0960-0689

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Addendum to Supporting Statement

Certification of Contents of Document(s) or Record(s) Form SSA-704

20 CFR 404.707, 404.715, 404.716, 404.720, 404.721, 404.723,

404.725, 404.727, 404.728, 404.730, 404.731, 404.732, 404.733,

404.735, 404.1370, 404.1371, 408.202 and 408.216

OMB No. 0960-0689



Minor Revisions to the Collection Instrument


SSA is making the following revisions:


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  The current language, which dates back to the last reprint of the form, is now outdated.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


File Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
Last Modified By013319
File Modified2010-03-09
File Created2010-03-08

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