Addendum to the Supporting Statement for Form SSA-150
Modified Benefit Formula Questionnaire
OMB # 0960-0395
Revisions to the Collection Instrument
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 The current language, which dates back to the last reprint of the form, is now outdated.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 this form.
| File Type | application/msword |
| File Title | Addendum to the Supporting Statement for Form SSA-2528 |
| Author | Naomi Lebowitz |
| Last Modified By | Naomi |
| File Modified | 2010-12-03 |
| File Created | 2010-12-03 |