Addendum to the Supporting Statement for 0960-0050

Addendum - 0050.doc

Questionnaire About Employment or Self-Employment Outside the United States

Addendum to the Supporting Statement for 0960-0050

OMB: 0960-0050

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Addendum to the Supporting Statement for Form SSA-7163

Questionnaire About Employment or Self-Employment Outside the United States

20 CFR 404.401(b)(l), 404.415 and 404.417

OMB Number 0960-0050




Revisions to the Collection Instrument


We are revising the PRA statements 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 The current language, which dates back to the last reprint of the form, is now outdated.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 Statements on these forms.

File Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-2528
AuthorNaomi Lebowitz
Last Modified By889123
File Modified2011-05-26
File Created2011-05-26

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