Addendum to Supporting Statement 0960-0554

Addendum to Supporting Statement

for Certificate of Coverage Request

20 CFR 404.1913

OMB No. 0960-0554

We have attached is a list of data elements we use to collect information to issue a Certificate of Coverage for the various countries that have Totalization agreements with the United States. In addition, a typical SSA publication booklet (Agreement Between the U.S. and Austaralia) and online collection instrument (Certificate of Coverage Request Form—U.S.-Australian Social Security Agreement) are included for OMB review. All Information collection instruments are available upon request or through the following Internet links:

Agreement Between U.S and Australia: http://www.ssa.gov/international/Agreement_Pamphlets/austrlia.html

Certificate of Coverage Request Form—U.S. –Australian Social Security Agreement:

https://secure.ssa.gov/apps6z/coc_db/allforms.html

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  The current language, which dates back to the last reprint of the form, is now outdated.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