Addendum to the Supporting Statement 0960-0269

Addendum.doc

Request for Hearing By Administrative Law Judge

Addendum to the Supporting Statement 0960-0269

OMB: 0960-0269

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Addendum to Supporting Statement

Request for Hearing By Administrative Law Judge SSA-HA-501-U5

20 CFR 404.929, 404.933, 416.1429, 416.1433, 42 CFR 405.722, 20 CFR 418.1350

OMB No. 0960-0269


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  The current language, which dates back to the last reprint of the form, is now outdated.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 By889123
File Modified2010-06-09
File Created2010-04-01

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