Addendum to Supporting Statement
Request to Decision Review Board to
Vacate the Administrative Law Judge Dismissal of Hearing
Form SSA-525
20 CFR 405.427
OMB No. 0960-0755
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 Type | application/msword |
| File Title | Addendum to the Supporting Statement for Form SSA-3462 |
| Author | 177717 |
| Last Modified By | 889123 |
| File Modified | 2010-07-13 |
| File Created | 2010-07-13 |