Addendum to Supporting Statement

Addendum.doc

Authorization to Release Medical Report to Physician

Addendum to Supporting Statement

OMB: 0960-0761

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Addendum to the Supporting Statement for Form SSA-91

Certificate of Election for Reduced Widow (er)’s and Surviving Divorced Spouse’s Benefits

20 CFR 401.45

OMB No. 0960-0583



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  The current language, which dates back to the last reprint of the form, is now outdated.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 Modified2010-06-24
File Created2010-06-24

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