Addendum - 0473

Addendum - 0473.doc

Employee Identification Statement

OMB: 0960-0473

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Addendum to the Supporting Statement for Form SSA-4156

Employee Identification Statement

20 CFR 404.702

OMB No. 0960-0473


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 The current language, which dates back to the last reprint of the form, is now outdated.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 Statement on agency forms. As a result, SSA is adding a Privacy Act Statement to this form.


File Typeapplication/msword
File TitleRevised item 11 SSA-8
Last Modified By889123
File Modified2010-12-22
File Created2010-12-22

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