Addendum to the Supporting Statement for Form SSA-7-F6
Application for Parent’s Insurance Benefits
20 CFR 404.370, 20 CFR 404.371, 20 CFR 404.373, 20 CFR 404.374 and
20 CFR 404.601 404.603
OMB No. 0960-0012
TERMS OF CLEARANCE
TERMS OF CLEARANCE: SSA have taken steps to make clear the purpose of their questions about marriage.
SSA has met the Terms of Clearance. In 2009, SSA updated the form in accordance with OMB’s guidance.
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 The current language, which dates back to the last reprint of the form, is now outdated.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 Type | application/msword |
| File Title | SSA-5-F6 Application for Mother’s or Father’s Insurance Benefits |
| Author | MJ Neubauer OEEP |
| Last Modified By | 889123 |
| File Modified | 2012-04-03 |
| File Created | 2011-12-06 |