Addendum to Supporting Statement

Addendum 0960-0174.doc

Statement of Living Arrangements, In-Kind Support and Maintenance

Addendum to Supporting Statement

OMB: 0960-0174

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Addendum to the Supporting Statement for

Form SSA-8006-F4

Statement of Living Arrangements

In-Kind Support and Maintenance

20 CFR 416.1130-416.1148

OMB No. 0960-0174



Revisions to the Collection Instrument

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.


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Author826655
Last Modified By889123
File Modified2012-01-19
File Created2012-01-19

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