Addendum to Supporting Statement

Addendum 0511.doc

Disability Update Report

Addendum to Supporting Statement

OMB: 0960-0511

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Addendum to Supporting Statement for Form SSA-455 Disability Update Report

20 CFR 404.1589-.1595 and 416.988-.996

OMB No. 0960-0511




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  The current language, which dates back to the last reprint of the form, is now outdated.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 Modified2011-05-19
File Created2011-05-19

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