Railroad Employment Questionnaire
20 CFR 404.1401, 404.1406-1408
OMB No. 0960-0078
Revisions to the Collection Instrument
Change Section A, first sentence from:
To be completed whenever the deceased worked the railroad industry…
To read:
Complete whenever the deceased worked for the railroad industry…
Change Section A, question 4 from:
…Did the deceased ever filed a…
To read:
…Did the deceased ever file a…
Change Section B, first sentence from:
To be completed whenever a claim for Social Security benefits…
To read:
Complete whenever a claim for Social Security benefits…
Change Section C, first sentence from:
To be completed if item A(3) or A(6)….
To read:
Complete if item A(3) or A(6)…
Change Section D, first sentence from:
To be completed when the claimant for Social Security benefits…
To read:
Complete when the claimant for Social Security benefits…
Justification for changes in Sections A, B, C, and D: Improves clarity and readability of the form.
Other Minor Revision 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 The current language, which dates back to the last reprint of the form, is now outdated.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 Type | application/msword |
| File Title | Addendum to the Supporting Statement for Form SSA-3462 |
| Author | 177717 |
| Last Modified By | 889123 |
| File Modified | 2011-03-23 |
| File Created | 2011-03-16 |